SAM'S CLUB OPTICAL (NPI# 1245324458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245324458 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-4819 |
| Practice Address |
5625 Gosford Rd Bakersfield CA 93313-4999 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 6616548565 |
| Enumeration Date | 2006-10-03 |
| 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 30-4819 | 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 |
5625 GOSFORD RD |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93313-4999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457378697 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 5625 Gosford Rd, Bakersfield, CA 93313-4999 | 2006-07-16 |
| 1952885329 | Pinnacle Optometric Eye Care | Optometrist | 5625 Gosford Rd, Bakersfield, CA 93313-4999 | 2018-09-20 |
| 1003347493 | Mi Eyes Optometry | Optometrist | 5625 Gosford Rd, Bakersfield, CA 93313-4999 | 2017-03-27 |
| 1700327566 | Michael George | Pharmacist | 5625 Gosford Rd, Bakersfield, CA 93313-4999 | 2017-03-13 |
| 1124499363 | Yeun Lee | Pharmacist | 5625 Gosford Rd, Bakersfield, CA 93313-4999 | 2015-10-14 |
| 1730588047 | Bee Yap | Pharmacist | 5625 Gosford Rd, Bakersfield, CA 93313-4999 | 2014-08-22 |
| 1437568557 | Kamini Lad Jina | Pharmacist | 5625 Gosford Rd, Bakersfield, CA 93313-4999 | 2014-08-04 |
| 1962836049 | Margarita Huezo | Optometrist | 5625 Gosford Rd, Bakersfield, CA 93313-4999 | 2013-08-26 |
| 1336320779 | Firstsight Vision Services, Inc. | Optometrist | 5625 Gosford Rd, Bakersfield, CA 93313-4999 | 2007-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881189298 | Simran Randhawa | Behavioral Analyst | 4707 Whitegate Ave, Bakersfield, CA 93313 | 2018-06-27 |
| 1700233954 | Ramandeep Brar | Registered Nurse | 5121 Stockdale Hwy #275, Bakersfield, CA 93313 | 2016-05-18 |
| 1568859932 | Carepharm Pharmacy | Pharmacy | 4700 Panama Ln Unit 116, Bakersfield, CA 93313 | 2015-04-23 |
| 1174887947 | Kiranjeet Loewen | Family Medicine | 4821 Panama Ln, Ste A-c, Bakersfield, CA 93313 | 2012-06-26 |
| 1215296074 | Eleanore S. Cruz D.d.s. Inc. | Dentist | 4004 Panama Lane, Suite 500, Bakersfield, CA 93313 | 2012-05-14 |
| 1245516533 | Crystal Nichole Moorman | Licensed Vocational Nurse | 3715 Ridgemont St, Bakersfield, CA 93313 | 2011-10-31 |
| 1124300314 | Nirav Subhashchandra Shukla | Pharmacist | 3301 Panama Lane, Bakersfield, CA 93313 | 2011-09-13 |
| 1316234941 | Yadwinder Singh Kang | Family Medicine | 6515 Panama Ln, Bakersfield, CA 93313 | 2011-07-04 |
| 1073642484 | Ruby Delana Varela | Social Worker | 4151 Mexicali Dr, Bakersfield, CA 93313 | 2007-03-02 |
| 1649308677 | Erin Michelle Salyer | Social Worker | 6313 Schirra Court, Suite 1, Bakersfield, CA 93313 | 2007-03-01 |
| Find all providers in zip 93313 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487973319 | Andrew Baldomero Gonzalez | Technician/Technologist | 1603 California Ave, Suite 103, Bakersfield, CA 93304-1383 | 2010-05-17 |
| 1457528895 | Pamela Dee Long | Technician/Technologist | 5466 California Ave, Bakersfield, CA 93309-1618 | 2008-05-14 |
| 1083731806 | Jack Lee Mcgee | Technician/Technologist | 3100 19th St Ste 100, Bakersfield, CA 93301-3149 | 2007-03-25 |
| 1609922616 | Optical Eyewear Inc. | Technician/Technologist | 2323 16th St Ste 103, Bakersfield, CA 93301-3453 | 2007-01-25 |
| 1902951999 | Sharon Francis | Technician/Technologist | 6077 Coffee Rd Ste 7, Bakersfield, CA 93308-9417 | 2007-01-23 |
| 1225105117 | Kenneth H Quigley | Technician/Technologist | 2022 N Chester Ave, Bakersfield, CA 93308-2653 | 2006-11-29 |
| 1700345097 | Matthew J Quigley | Technician/Technologist | 2022 N Chester Ave, Bakersfield, CA 93308-2653 | 2019-03-15 |
| 1619479466 | Mario Joaquin Fajardo | Technician/Technologist | 2935 Oswell St Ste B, Bakersfield, CA 93306-2705 | 2018-03-07 |
| 1952660813 | Anthony Gonzalez | Technician/Technologist | 9700 Brimhall Rd, Bakersfield, CA 93312-2777 | 2012-05-14 |
| 1316177868 | Tisha Sinclair | Technician/Technologist | 3216 Ming Ave, Bakersfield, CA 93304-4139 | 2009-07-17 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93313 |
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.