SAM'S CLUB OPTICAL (NPI# 1164513693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164513693 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-6651 |
| Practice Address |
5702 Baltimore National Pike Catonsville MD 21228-1306 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 4107447174 |
| Enumeration Date | 2006-09-28 |
| 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 30-6651 | 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 |
5702 BALTIMORE NATIONAL PIKE |
| City | CATONSVILLE |
| State | MD |
| Zip Code | 21228-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245258763 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 5702 Baltimore National Pike, Catonsville, MD 21228-1306 | 2006-07-17 |
| 1962002873 | Hlaing Hlaing | Pharmacist | 5702 Baltimore National Pike, Catonsville, MD 21228-1306 | 2020-10-29 |
| 1841808300 | Tamika N Ames | Pharmacist | 5702 Baltimore National Pike, Catonsville, MD 21228-1306 | 2020-07-20 |
| 1467011833 | John A Okidi | Pharmacist | 5702 Baltimore National Pike, Catonsville, MD 21228-1306 | 2019-06-10 |
| 1770861411 | Allyson Noelle Fisher | Optometrist | 5702 Baltimore National Pike, Catonsville, MD 21228-1306 | 2011-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307975 | Playful Minds | Social Worker | 1009 Frederick Road, Baltimore, MD 21228 | 2020-02-05 |
| 1649818329 | Resolute Medical Care LLC | Nurse Practitioner | 4 E. Rolling Crossroads, Ste 100, Catonsville, MD 21228 | 2019-12-13 |
| 1760020416 | Bh Brightview Rolling Hills Opco, LLC | Alzheimer Center (Dementia Center) | 848 South Rolling Road, Catonsville, MD 21228 | 2019-12-12 |
| 1912542812 | Tiana Green | Counselor | 606 Edmondson Ave., Catonsville, MD 21228 | 2019-11-14 |
| 1699324806 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4701 Wilkens Ave, Catonsville, MD 21228 | 2019-09-10 |
| 1528613460 | Hyung Joon Kim Dds PC | Dentist | 516 N. Rolling Rd, #201, Catonsville, MD 21228 | 2019-08-07 |
| 1982109658 | William Jones | Counselor | 29 Tentmill Lane, Pikesville, MD 21228 | 2018-03-26 |
| 1740783752 | Jean Walter Infusion Center, LLC | Clinic/Center | 700 Geipe Road St. 100, Catonsville, MD 21228 | 2018-03-15 |
| 1174036578 | Ideal Telemedicine Services, LLC | Clinic/Center | 516 N Rolling Rd Ste 301, Catonsville, MD 21228 | 2017-11-08 |
| 1932627239 | Mind Over Matter Health Services, Inc. | Community/Behavioral Health | 616 Old Edmondson Ave. Ste. 4, Baltimore, MD 21228 | 2017-09-07 |
| Find all providers in zip 21228 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154407641 | Wal-mart Stores East, Lp | Technician/Technologist | 6205 Baltimore National Pike, Catonsville, MD 21228-2908 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184234098 | Azar/filipov Md Pa | Technician/Technologist | 31519 Winterplace Pkwy Ste 1, Salisbury, MD 21804-1894 | 2020-08-05 |
| 1962011510 | Edmund Hilliman | Technician/Technologist | 3202 Ridgeway Pl, Windsor Mill, MD 21244-1021 | 2020-07-29 |
| 1063047827 | Jeremiah Beauvilet | Technician/Technologist | 519 Lake Vista Cir Apt I, Cockeysville, MD 21030-5250 | 2020-03-11 |
| 1891326195 | Chesapeake Eye Care & Laser Center LLC | Technician/Technologist | 1380 Progress Way Ste 108, Eldersburg, MD 21784-6498 | 2020-01-27 |
| 1356985964 | Chesapeake Eye Care & Laser Center LLC | Technician/Technologist | 200 Washington Heights Medical Cetner, Westminster, MD 21157-2115 | 2019-11-06 |
| 1952969503 | Catonsville Vision Partners | Technician/Technologist | 405 Frederick Rd Ste 106, Baltimore, MD 21228-4646 | 2019-05-30 |
| 1508351370 | National Vision, Inc. | Technician/Technologist | 18304 Contour Road, Montgomery Village, MD 20877 | 2018-06-25 |
| 1326539081 | Daniel Dario Lorenzo | Technician/Technologist | 6811 Kenilworth Ave Fl 5, Riverdale, MD 20737-1333 | 2018-05-29 |
| 1215436357 | National Vision. Inc. | Technician/Technologist | 1401 Merritt Blvd # F, Baltimore, MD 21222-2140 | 2018-02-05 |
| 1972017358 | Chippewa Optical LLC | Technician/Technologist | 305 Reisterstown Rd, Baltimore, MD 21208-5313 | 2017-11-21 |
| Find all providers with the same taxonomy | ||||
| City | CATONSVILLE |
| Zip Code | 21228 |
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.