SAM'S CLUB OPTICAL (NPI# 1851483317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851483317 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-8129 |
| Practice Address |
412 S College Rd Wilmington NC 28403-1715 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 9103922995 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LINDA M. EPPERSON (NPI COORDINATOR) |
| Authorized Official Telephone | 3167885580 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
| X | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Sam's Club Optical 30-8129 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881924413 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 4420 King Avenue East, Billings, MT 59101 | 2010-01-04 |
| 1457589111 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 450 Townsend Road, Cocoa, FL 32926 | 2009-07-01 |
| 1427286251 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 745 W El Camino Alto Drive, Springfield (s), MO 65810 | 2009-07-01 |
| 1093951956 | Sam's Club Optical | Technician/Technologist | 755 N. Hwy 27/441, Lady Lake (the Villages), FL 32159 | 2008-12-24 |
| 1619125903 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 3247 23rd Avenue, Evans, CO 80620 | 2008-08-29 |
| 1720236011 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 2000 Clements Bridge Rd Ste 116, Deptford, NJ 08096-2011 | 2008-08-29 |
| 1184886913 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 11278 South Jordan Gtwy, South Jordan, UT 84095 | 2008-07-02 |
| 1356516116 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 3839 Mundy Mill Road, Oakwood, GA 30566 | 2008-04-23 |
| 1104095801 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 7100 West Arroyo Crossing Pkwy, Las Vegas, NV 89113 | 2008-02-27 |
| 1114101193 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 2650 East Craig Road, North Las Vegas, NV 89030 | 2007-12-26 |
| Street Address |
412 S COLLEGE RD |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-1715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508883778 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 412 S College Rd, Wilmington, NC 28403-1715 | 2006-07-16 |
| 1609318989 | Julie Dalrymple Biggerstaff | Pharmacist | 412 S College Rd, Wilmington, NC 28403-1715 | 2016-11-17 |
| 1730569039 | Emily Allen | Pharmacist | 412 S College Rd, Wilmington, NC 28403-1715 | 2015-06-02 |
| 1508281775 | Brian M Krise | Pharmacist | 412 S College Rd, Wilmington, NC 28403-1715 | 2014-02-25 |
| 1548596778 | Jackson Eye Associates, Od Pa | Optometrist | 412 S College Rd, Wilmington, NC 28403-1715 | 2009-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568754505 | Usv Optical Inc. | Technician/Technologist | 2131 Kirkwood Highway, Wilmington, DE 19805 | 2011-05-10 |
| 1124207840 | Ronnie Cleon Newkirk Sr. | Technician/Technologist | 4300 Deer Creek Ln, Wilmington, NC 28405 | 2007-10-30 |
| 1780704767 | Specs for Less | Technician/Technologist | 811 N Market St, Wilmington, DE 19801-3053 | 2007-03-31 |
| 1558497396 | Coastal Eyeworks Incorporated | Technician/Technologist | 6836 Market St, Wilmington, NC 28405-9723 | 2007-02-26 |
| 1023176096 | Kathryn Brown Cordle | Technician/Technologist | 8068 Market St, Wilmington, NC 28411-9384 | 2006-12-04 |
| 1104998723 | Robert Hazen | Technician/Technologist | 4750 Limestone Rd, Wilmington, DE 19808-1928 | 2006-11-15 |
| 1457361602 | Wal-mart Stores East, Lp | Technician/Technologist | 2825 S State Route 73, Wilmington, OH 45177-7710 | 2006-08-09 |
| 1619936275 | Douglas Lee Bayse | Technician/Technologist | 2226 S 17th St, Wilmington, NC 28401-7515 | 2006-03-22 |
| 1417334939 | Wal-mart Stores East, Lp | Technician/Technologist | 8035 Market St, Wilmington, NC 28411 | 2015-05-05 |
| 1134521123 | America's Best Contacts & Eyeglasses | Technician/Technologist | 344 S College Rd, Wilmington, NC 28403-1632 | 2014-09-22 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on SAM'S CLUB OPTICAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.