SAM'S CLUB OPTICAL (NPI# 1114007598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114007598 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-8281 |
| Practice Address |
13600 East Fwy Houston TX 77015-5917 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 7134502592 |
| Enumeration Date | 2006-10-17 |
| 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 30-8281 | 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 |
13600 EAST FWY |
| City | HOUSTON |
| State | TX |
| Zip Code | 77015-5917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750376620 | David Dao | Optometrist | 13600 East Fwy, Suite A, Houston, TX 77015-5917 | 2005-09-15 |
| 1396345914 | Michael Ramos | Pharmacist | 13600 East Fwy, Houston, TX 77015-5917 | 2020-11-01 |
| 1992305163 | Herman Lee | Pharmacist | 13600 East Fwy, Houston, TX 77015-5917 | 2020-10-27 |
| 1679590798 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 13600 East Fwy, Houston, TX 77015-5917 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144701061 | Elsa Marquez | Registered Nurse | 14223 Wadebridge Way, Houston, TX 77015 | 2018-08-28 |
| 1730544065 | Fresenius Medical Care Northeast Houston, LLC | Clinic/Center | 4810 E Sam Houston Pkwy N, Houston, TX 77015 | 2015-12-31 |
| 1316338650 | Candice Rogers | Physical Therapy Assistant | 13649 East Freeway, Houston, TX 77015 | 2015-02-09 |
| 1114346301 | Michael William Chang | Dentist | 12450 East Fwy Ste 140, Houston, TX 77015 | 2014-04-15 |
| 1114344249 | Annabel Maldonado-carrizales | Occupational Therapist | 12605 East Freeway, Suite 212, Houston, TX 77015 | 2014-03-26 |
| 1720326036 | Stephanie Frances Parlangeli | Occupational Therapist | 12605 East Fwy, Houston, Suite 200, Houston, TX 77015 | 2013-01-21 |
| 1700173887 | Karen Alicia Henry | Counselor | 331 Freeport Street, Houston, TX 77015 | 2011-07-08 |
| 1619298031 | Clinic 1 Care, Inc. | General Practice | 14225 East Freeway, Houston, TX 77015 | 2010-06-21 |
| 1043536303 | Alternative Learning LLC | Residential Treatment Facility, Physical Disabilities | 13214 Myrna Lane, Houston, TX 77015 | 2010-04-12 |
| 1205015237 | Open Hearts Home Health Care | Home Health | 14115 Woodwolf Ct, Houston, TX 77015 | 2007-10-26 |
| Find all providers in zip 77015 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740822501 | Eyeglasses of Texas | Technician/Technologist | 6200 Bellaire Blvd Ste J, Houston, TX 77081-4902 | 2019-10-14 |
| 1275030025 | Mario Santillan | Technician/Technologist | 13713 State Highway 249, Houston, TX 77086-2705 | 2018-04-09 |
| 1720517857 | Desiree M Ogundolie | Technician/Technologist | 14010 S Post Oak Rd Ste 1105, Houston, TX 77045-5157 | 2017-06-12 |
| 1801345038 | National Vision, Inc. | Technician/Technologist | 14243 East Sam Houston Pkwy N, Suite 1000, Houston, TX 77044 | 2016-09-29 |
| 1861949430 | National Vision, Inc. | Technician/Technologist | 4811 Hwy 6 N, Unit # 12b, Houston, TX 77084 | 2016-09-01 |
| 1245783109 | Medical Center Optical LLC | Technician/Technologist | 2240 W Holcombe Blvd Ste B, Houston, TX 77030-2008 | 2016-07-27 |
| 1376996272 | Cenovio Caudillo | Technician/Technologist | 7755 W Bellfort St, Houston, TX 77071-2104 | 2016-07-15 |
| 1952776619 | National Vision, Inc. | Technician/Technologist | 11809 Wilcrest Dr, Houston, TX 77031-1919 | 2015-12-07 |
| 1962877993 | National Vision, Inc. | Technician/Technologist | 11168 Fondren Rd, Houston, TX 77096-5506 | 2015-12-02 |
| 1790159606 | National Vision, Inc. | Technician/Technologist | 929 N Shepherd Dr, Houston, TX 77008-6526 | 2015-11-17 |
| Find all providers in HOUSTON | ||||
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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.