SAM'S CLUB OPTICAL (NPI# 1891991865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891991865 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-6675 |
| Practice Address |
7200 Peach St Erie PA 16509-4754 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 8148661074 |
| Mailing Telephone | 4792779373 |
| Mailing Fax Number | 4792778176 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID J. SIMMONS (NPI ASSOCIATE) |
| Authorized Official Telephone | 4792779373 |
| 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 30-6675 | 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 |
7200 PEACH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16509-4754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023088226 | Susan E Robbins | Emergency Medicine | 7200 Peach St, Epn/hamot Urgent Care-upmc Unit 16, Erie, PA 16509-4754 | 2006-01-23 |
| 1336560945 | Epn Hamot Urgent Care Centers LLC | Emergency Medicine | 7200 Peach St, Unit 16, Erie, PA 16509-4754 | 2013-12-27 |
| 1518283753 | Epn Hamot Urgent Care LLC | Emergency Medicine | 7200 Peach St, Unit 420, Erie, PA 16509-4754 | 2010-04-13 |
| 1447573787 | Edward Jon Poranski | Pharmacist | 7200 Peach St, Unit 200, Erie, PA 16509-4754 | 2010-03-01 |
| 1851613137 | Leonard John Whiteman | Pharmacist | 7200 Peach St, Unit 200, Erie, PA 16509-4754 | 2010-02-27 |
| 1780883314 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 7200 Peach St, Erie, PA 16509-4754 | 2007-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598243073 | Austin Dudenhoefer | Physical Therapist | 8270 Peach St Ste 400, Erie, PA 16509 | 2018-08-06 |
| 1770092884 | Latasha Marie Phillips | Social Worker | 5100 Peach Street, Erie, PA 16509 | 2017-09-21 |
| 1932621307 | Mitchell Meagher | Internal Medicine | 5515 Peach St., Attn: Medical Education, Erie, PA 16509 | 2017-07-07 |
| 1760903702 | Tricia Lee Cubitt | Social Worker | 4756 Springview Drive, Apartment 310, Erie, PA 16509 | 2017-06-29 |
| 1790191617 | Ashley Russell | Physical Therapy Assistant | 1267 South Hill Road, Erie, PA 16509 | 2014-07-11 |
| 1295084085 | Michael David Mccafferty | Internal Medicine | 5332 Rome Court Drive, 301, Erie, PA 16509 | 2012-09-07 |
| 1427303619 | Michelle Mary Dillaene Tobin | Social Worker | 828 W. Gore Road, Erie, PA 16509 | 2012-07-13 |
| 1962761411 | Moshood B Martins | Dentist | 7040 Peach Street, Erie, PA 16509 | 2012-05-03 |
| 1770854549 | Peach Street Dental & Dentures, PC. | Dentist | 7040 Peach St, Erie, PA 16509 | 2012-01-25 |
| 1881989515 | Richard R Sambuchino | Dentist | 4944 Peach Street, Erie, PA 16509 | 2011-06-10 |
| Find all providers in zip 16509 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033673595 | National Vision Inc | Technician/Technologist | 1930 Douglas Pkwy Ste 54, Erie, PA 16509-7304 | 2019-01-29 |
| 1932223534 | Maryann Curry | Technician/Technologist | 3202 Buffalo Rd, Erie, PA 16510-1810 | 2007-03-19 |
| 1700962412 | Sunset Optics | Technician/Technologist | 1839 West 26th Street, Sunset Optics, Erie, PA 16508 | 2006-10-27 |
| 1134118433 | Harjinder S Sabherwal | Technician/Technologist | 1164 E 38th St, Erie, PA 16504-1846 | 2005-10-19 |
| 1831554138 | Jennifer Schultz | Technician/Technologist | 128 W 12th St, Suite 200, Erie, PA 16501-1750 | 2015-12-31 |
| 1982069571 | Cheryl Ramsey | Technician/Technologist | 128 W 12th St, Erie, PA 16501-1750 | 2015-12-23 |
| 1063810901 | Mark Clement | Technician/Technologist | 405 State St, Erie, PA 16501-1106 | 2014-12-09 |
| 1932509510 | Michelle Donovan | Technician/Technologist | 2240 E 38th St, Erie, PA 16510-3688 | 2014-09-02 |
| 1992888465 | Wal-mart Stores East, Lp | Technician/Technologist | 2711 Elm St, Erie, PA 16504-2935 | 2006-10-20 |
| 1275615924 | Wal-mart Stores East, Lp | Technician/Technologist | 5350 W Ridge Rd, Erie, PA 16506-1222 | 2006-10-20 |
| Find all providers in ERIE | ||||
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| 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.