SAM'S CLUB OPTICAL (NPI# 1992806418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992806418 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-4831 |
| Practice Address |
4005 Durham Chapel Hill Blvd Durham NC 27707-2516 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 9194898160 |
| Enumeration Date | 2006-09-26 |
| 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 30-4831 | 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 |
4005 DURHAM CHAPEL HILL BLVD |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-2516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891245452 | Aime P Service | Pharmacist | 4005 Durham Chapel Hill Blvd, Durham, NC 27707-2516 | 2016-10-07 |
| 1124477849 | Amorette L. Hanna, O.d., Pllc | Optometrist | 4005 Durham Chapel Hill Blvd, Durham, NC 27707-2516 | 2016-06-03 |
| 1154754810 | Amorette Hanna | Optometrist | 4005 Durham Chapel Hill Blvd, Durham, NC 27707-2516 | 2013-08-16 |
| 1770725152 | Urvi Joshi | Optometrist | 4005 Durham Chapel Hill Blvd, Durham, NC 27707-2516 | 2009-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992139901 | America's Best Contacts & Eyeglasses | Technician/Technologist | 4600 Durham Chapel Hill Blvd, Durham, NC 27707-2669 | 2013-08-27 |
| 1639462898 | Sukari Shanye Cunningham | Technician/Technologist | 510 Gurley St, Apt B, Durham, NC 27701-3432 | 2011-05-20 |
| 1124327093 | Matthew Edwin Libby | Technician/Technologist | 1105 W Chapel Hill St, Suite #3, Durham, NC 27701-3059 | 2011-03-17 |
| 1982760922 | Travis Optical | Technician/Technologist | 3901 N Roxboro Rd, Durham, NC 27704-0118 | 2006-12-27 |
| 1023108594 | Wal-mart Stores East Lp | Technician/Technologist | 1525 Glen School Rd, Durham, NC 27704 | 2006-10-13 |
| 1205819547 | Optometric Eye Care Center of Durham Pa | Technician/Technologist | 1058 W Club Blvd, Durham, NC 27701-1115 | 2005-11-21 |
| 1467974865 | Douglas Martin Riley | Technician/Technologist | 115 Market St, Durham, NC 27701-3251 | 2017-07-07 |
| 1235478223 | Cassie R Goodman | Technician/Technologist | 2351 Erwin Rd, Durham, NC 27710-4699 | 2013-02-11 |
| 1043559032 | Marian L Davis | Technician/Technologist | 2351 Erwin Rd, Durham, NC 27710-4699 | 2013-02-11 |
| 1801179064 | Wal-mart Stores East Lp | Technician/Technologist | 1010 Martin Luther King Pkwy, Durham, NC 27713-3139 | 2011-09-23 |
| Find all providers in DURHAM | ||||
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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.