SAM'S CLUB OPTICAL (NPI# 1376641365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376641365 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-6401 |
| Practice Address |
15835 N Dale Mabry Hwy Tampa FL 33618-1646 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 8139602110 |
| Enumeration Date | 2006-09-21 |
| 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 30-6401 | 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 |
15835 N DALE MABRY HWY |
| City | TAMPA |
| State | FL |
| Zip Code | 33618-1646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205895604 | Kevin Barrido | Optometrist | 15835 N Dale Mabry Hwy, Tampa, FL 33618-1646 | 2006-03-23 |
| 1659972990 | Swati Lakir Patel | Pharmacist | 15835 N Dale Mabry Hwy, Tampa, FL 33618-1646 | 2020-11-03 |
| 1205204237 | Hiep Pham | Pharmacist | 15835 N Dale Mabry Hwy, Tampa, FL 33618-1646 | 2015-09-08 |
| 1851695357 | Dr Kevin K Barrido Od Pa | Optometrist | 15835 N Dale Mabry Hwy, Tampa, FL 33618-1646 | 2010-12-27 |
| 1013934405 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 15835 N Dale Mabry Hwy, Tampa, FL 33618-1646 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714130 | Virgin Mary's Pharmacy | Pharmacy | 14606 N Dale Mabry, Tampa, FL 33618 | 2020-03-05 |
| 1801378252 | Leah Rae Petit | Nurse Practitioner | 3505, 11809 N Dale Mabry Hwy, Tampa, FL 33618 | 2018-09-02 |
| 1265921100 | Almighty Home Healthcare Services, Inc. | Home Health | 16614 N. Dale Mabry Hwy, Tampa, FL 33618 | 2018-05-07 |
| 1972016368 | Pepe C Mcneal | Specialist | 15241 North Dalemabry Ave, Sola Salons (studio #14, Tampa, FL 33618 | 2017-11-08 |
| 1760919179 | Sara Ashley Carr | Counselor | 10014 N Dale Mabry Hwy Ste 216, Tampa, FL 33618 | 2017-05-16 |
| 1073975231 | National Vision, Inc. | Technician/Technologist | 10934 N Dale Mabry Hwy, Carrollwood, FL 33618 | 2016-03-25 |
| 1003209792 | Tampa General Medical Group Inc | Internal Medicine | 3419 N Lakeview Dr, Tampa, FL 33618 | 2015-03-05 |
| 1114205648 | Liberty Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 3653 Madaca Ln, Tampa, FL 33618 | 2011-08-02 |
| 1386938215 | David Leonardo Higuera | Pharmacist | 2901 W Bush Blvd, Suite 104, Tampa, FL 33618 | 2011-06-08 |
| 1922303973 | Kimberly Lynne Little | Social Worker | 3044 W. Bearss Avenue, Tampa, FL 33618 | 2011-01-24 |
| Find all providers in zip 33618 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275096661 | Optical District LLC | Technician/Technologist | 4040 W Waters Ave Ste 106, Tampa, FL 33614-8133 | 2019-04-11 |
| 1790241255 | National Vision Inc | Technician/Technologist | 8456 W Hillsborough Ave, Tampa, FL 33615-3808 | 2019-02-20 |
| 1326566514 | Nationwide Vision Center, Inc. | Technician/Technologist | 8102 Citrus Park Town Center Mall, Inside Jcpenney, Tampa, FL 33625-3181 | 2017-09-07 |
| 1700318045 | National Vision, Inc | Technician/Technologist | 1541 S Dale Mabry Hwy, Tampa, FL 33629-5808 | 2017-03-28 |
| 1447316146 | Britton Plaza Vision Center | Technician/Technologist | 3802 Britton Plz # A, Tampa, FL 33611-1406 | 2006-12-28 |
| 1326130519 | Wal-mart Stores East, Lp | Technician/Technologist | 8550 N Dale Mabry Hwy, Tampa, FL 33614-1646 | 2006-09-28 |
| 1659472587 | Max Anthony Castro | Technician/Technologist | 4602 N Armenia, Suite A-1, Tampa, FL 33603-2625 | 2006-09-25 |
| 1508335357 | Louis T Perez | Technician/Technologist | 4040 W Waters Ave, Tampa, FL 33614-1958 | 2018-11-21 |
| 1881118339 | Nationwide Vision Center, LLC | Technician/Technologist | 13141 N Dale Mabry Hwy Ste D&e, Tampa, FL 33618-2443 | 2017-07-26 |
| 1790230928 | Sara Rosen | Technician/Technologist | 912 Channelside Dr, Suite 2102, Tampa, FL 33602-4229 | 2016-08-17 |
| Find all providers in TAMPA | ||||
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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.