SAM'S CLUB OPTICAL (NPI# 1265525182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265525182 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-6235 |
| Practice Address |
6336 College Grove Way San Diego CA 92115 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 6198580084 |
| Enumeration Date | 2006-10-02 |
| 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 30-6235 | 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 |
6336 COLLEGE GROVE WAY |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851318182 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 6336 College Grove Way, San Diego, CA 92115-7244 | 2006-07-16 |
| 1144620048 | Tran Tu | Pharmacist | 6336 College Grove Way, San Diego, CA 92115-7244 | 2014-08-27 |
| 1588072664 | Unhae Kim | Pharmacist | 6336 College Grove Way, San Diego, CA 92115-7244 | 2014-08-01 |
| 1558542944 | Firstsight Visionservices, Inc. | Optometrist | 6336 College Grove Way, San Diego, CA 92115-7244 | 2007-11-14 |
| 1306997333 | Khao Dang Truong | Optometrist | 6336 College Grove Way, San Diego, CA 92115-7244 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313922 | Mayra Ailed Bugarin | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center 5454, El Cajon Blvd, San Diego, CA 92115 | 2020-04-01 |
| 1093369878 | Chang Liu | Counselor | 3539 College Avenue, San Diego, CA 92115 | 2019-07-30 |
| 1689238560 | Donia Ahadian | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center, 5454 El Cajon Blvd, San Diego, CA 92115 | 2019-04-26 |
| 1780157859 | James Michael Sites | Military Health Care Provider | Uss Shoup Ddg 86, San Diego, CA 92115 | 2019-01-10 |
| 1780163006 | Marcos Luis Sandoval | Case Manager/Care Coordinator | 6224 El Cajon Blvd, Suite 17, San Diego, CA 92115 | 2018-08-08 |
| 1437651981 | Phyllis Lynette Pryor | Licensed Vocational Nurse | 4974 El Cajon Blvd Suite A, San Diego, CA 92115 | 2018-03-01 |
| 1982125605 | Ellen Medical Transport | Non-emergency Medical Transport (VAN) | 4587 Winona Ave #5, San Diego, CA 92115 | 2017-07-03 |
| 1992225296 | P'okot LLC | Non-emergency Medical Transport (VAN) | 5511 Adelaide Ave, 26, San Diego, CA 92115 | 2017-06-27 |
| 1578019840 | Alfred Zygmunt Nowak | Specialist/Technologist | 6663 Reservoir Ln, San Diego, CA 92115 | 2016-08-28 |
| 1639534183 | Kalkaal Financial Enterprise, LLC. | Non-emergency Medical Transport (VAN) | 5055 Collwood Blvd., Unit 108, San Diego, CA 92115 | 2015-12-29 |
| Find all providers in zip 92115 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871968073 | National Vision, Inc. | Technician/Technologist | 3952 Clairemont Mesa Blvd Ste F, San Diego, CA 92117-2777 | 2015-12-14 |
| 1487076584 | Jeff Oppido | Technician/Technologist | 3531 Florida St Apt 1, San Diego, CA 92104-8206 | 2014-01-09 |
| 1700147808 | David T Stewart | Technician/Technologist | 817 W Harbor Drvie, Suite E, San Diego, CA 92101 | 2012-06-05 |
| 1780972158 | Slawomir Zmijewski | Technician/Technologist | 1772 Garnet Ave Ste E, San Diego, CA 92109-3373 | 2011-07-19 |
| 1467665356 | Lisa Steinhoff | Technician/Technologist | 420 Thorn St, San Diego, CA 92103-5708 | 2007-05-07 |
| 1043438666 | Mark David Handmacher | Technician/Technologist | 325 W. Washington St., Insight Optical Center, San Diego, CA 92103 | 2007-04-20 |
| 1093169476 | National Vision, Inc. | Technician/Technologist | 3625 Midway Dr, Suite P, San Diego, CA 92110-5253 | 2016-04-21 |
| 1558575605 | Sheryl A Thompson | Technician/Technologist | 420 Thorn St, San Diego, CA 92103-5708 | 2007-05-09 |
| 1104039544 | Hillcrest Optical Inc. | Technician/Technologist | 420 Thorn St, San Diego, CA 92103-5708 | 2007-05-08 |
| 1346321361 | Walmart Stores, Inc. | Technician/Technologist | 4840 Shawline St, San Diego, CA 92111-1400 | 2006-10-17 |
| Find all providers in SAN DIEGO | ||||
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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.