SAM'S CLUB OPTICAL (NPI# 1417052150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417052150 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-8252 |
| Practice Address |
4900 Centre Pointe Dr North Charleston SC 29418-6927 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 8435299893 |
| Enumeration Date | 2006-09-14 |
| 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 30-8252 | 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 |
4900 CENTRE POINTE DR |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29418-6927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457378614 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4900 Centre Pointe Dr, North Charleston, SC 29418-6927 | 2006-07-16 |
| 1134554249 | Michelle Jackson | Pharmacist | 4900 Centre Pointe Dr, North Charleston, SC 29418-6927 | 2013-09-08 |
| 1023443132 | Robin Wentzky Wood | Pharmacist | 4900 Centre Pointe Dr, North Charleston, SC 29418-6927 | 2013-09-08 |
| 1508143173 | J Taylor Prchal Inc | Optometrist | 4900 Centre Pointe Dr, North Charleston, SC 29418-6927 | 2011-11-10 |
| 1386854966 | Bella Eye Care Inc. | Optometrist | 4900 Centre Pointe Dr, Vision Center, North Charleston, SC 29418-6927 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710529235 | Safe Keeping Healthcare LLC | Home Health | 2850 Ashley Phoshate Rd Suite J, Charleston, SC 29418 | 2019-10-16 |
| 1487136180 | Aston J Rosenberg | Speech-Language Pathologist | 4362 Leslie St, North Charleston, SC 29418 | 2018-08-30 |
| 1285178996 | Aaron Brown | Counselor | 5060 Dorchester Road, Suite 200, North Charleston, SC 29418 | 2016-12-14 |
| 1003265828 | Health Edge Laser LLC | Chiropractor | 4965 Centre Pointe Dr. Suite 100, North Charleston, SC 29418 | 2016-06-13 |
| 1568866481 | Rickey Ciapha Dennis Sr. | Social Worker | 108 Knightsbridge Drive, North Charleston, SC 29418 | 2014-10-21 |
| 1780086330 | Stephanie Washington | Specialist | 5060 Drochester Rd, North Charleston, SC 29418 | 2014-09-25 |
| 1043631369 | Julian H. Campbell, Dmd PC | Dentist | 3188 W. Montague Ave, North Charleston, SC 29418 | 2014-01-05 |
| 1750660676 | Marie's Home Care | Home Health | 7610 Mcknight St., Apt.a, North Charleston, SC 29418 | 2011-08-09 |
| 1437437548 | Trident General Dentistry, Douglas S Rawls, Dm | Dentist | 6335 Dorchester Road, North Carleston, SC 29418 | 2011-07-25 |
| 1508165291 | Patrick Michael Looser | Internal Medicine | 4969 Centre Pointe Dr Ste 100, North Charleston, SC 29418 | 2011-03-21 |
| Find all providers in zip 29418 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255329827 | Donald Anderson | Technician/Technologist | 6185 Rivers Ave, Suite G, North Charleston, SC 29406-4978 | 2005-10-07 |
| 1881804300 | Lawrence Edwin Richard | Technician/Technologist | 8096 Rivers Ave Ste A, North Charleston, SC 29406-9243 | 2007-05-23 |
| 1811105877 | Susan Anderson Mullins | Technician/Technologist | 7685 Northwoods Blvd, Suite 8 F, North Charleston, SC 29406-4002 | 2007-05-21 |
| 1235347659 | See Y Eyecare Inc. | Technician/Technologist | 7685 Northwoods Blvd, Suite 8f, North Charleston, SC 29406-4002 | 2007-05-18 |
| 1942336912 | Carolina Eyes | Technician/Technologist | 7250 Rivers Ave, North Charleston, SC 29406-4625 | 2007-02-26 |
| 1245312545 | Wal-mart Stores East, Lp | Technician/Technologist | 4920 Centre Pointe Dr, North Charleston, SC 29418-6927 | 2006-10-19 |
| 1376624007 | Wal-mart Stores East, Lp | Technician/Technologist | 7400 Rivers Ave, North Charleston, SC 29406-4644 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332864 | Insight Optical | Technician/Technologist | 451 E Saint John St, Spartanburg, SC 29302-1623 | 2020-10-06 |
| 1093323289 | Benjamin Cade | Technician/Technologist | 404 Johnson St Ste A, Pickens, SC 29671-2479 | 2020-07-14 |
| 1891312427 | Cory Threatt | Technician/Technologist | 232 Cherry Rd S Ste 120, Rock Hill, SC 29732-3413 | 2020-06-30 |
| 1154955227 | My Optical | Technician/Technologist | 808 Highway 378, Lexington, SC 29072-8377 | 2020-02-27 |
| 1942763750 | Kristi Thompson | Technician/Technologist | 100 Pershing Ave Ste 1, Clemson, SC 29631-2193 | 2019-04-09 |
| 1144792243 | Jennifer Rauchut | Technician/Technologist | 310 Azalea Square Blvd Unit C, Summerville, SC 29483-7362 | 2018-12-30 |
| 1215446877 | National Vision, Inc. | Technician/Technologist | 702 Fairview Rd, Simpsonville, SC 29680-8156 | 2017-09-27 |
| 1629590864 | Grechia Stanley Devito | Technician/Technologist | 411 Commerce Dr Ne, Columbia, SC 29223-4583 | 2017-07-10 |
| 1649701897 | Usv Optical Inc. | Technician/Technologist | 1035 Jockey Ct., Summerville, SC 29483 | 2017-03-21 |
| 1104374172 | Sams East, Inc | Technician/Technologist | 14 Bluffton Road, Bluffton, SC 29910-7621 | 2016-09-19 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29418 |
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.