SAM'S CLUB OPTICAL (NPI# 1457448854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457448854 |
Entity Type | Organization |
Organization Name | SAM'S CLUB OPTICAL |
Other Organization Name | SAM'S CLUB OPTICAL 30-4775 |
Practice Address |
3900 Airline Dr Metairie LA 70001-5704 |
Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
Practice Telephone | 5048312911 |
Enumeration Date | 2006-10-06 |
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 30-4775 | 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 |
3900 AIRLINE DR |
City | METAIRIE |
State | LA |
Zip Code | 70001-5704 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053338327 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 3900 Airline Dr, Metairie, LA 70001-5704 | 2006-07-16 |
1952783334 | Arjell Dorsey | Pharmacist | 3900 Airline Dr, Metairie, LA 70001-5704 | 2015-06-23 |
1942697743 | Kristy Barthe | Pharmacist | 3900 Airline Dr, Metairie, LA 70001-5704 | 2015-04-20 |
1194001511 | Xuan T. Pham, O.d., LLC | Optometrist | 3900 Airline Dr, Metairie, LA 70001-5704 | 2011-10-31 |
1891075628 | Xuan Pham | Optometrist | 3900 Airline Dr, Metairie, LA 70001-5704 | 2011-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417573361 | Maria Ann Sands | Social Worker | 2301 Edenborn Avenue, Unit 1002, Metairie, LA 70001 | 2020-06-17 |
1104455401 | Grace Elizabeth Beck Coburn | Dentist | 3100 Galleria, Suite 206, Metairie, LA 70001 | 2020-04-07 |
1295384709 | Lotus Counseling Center | Counselor | 1 Galleria Blvd, Ste 1900, #1903, Metairie, LA 70001 | 2019-09-06 |
1255812160 | Keyota Andrea Russell | Non-emergency Medical Transport (VAN) | 2408 Houma Blvd Apt 315, Metairie, LA 70001 | 2018-08-28 |
1184116204 | Benjamin Guidry Md, LLC | Ophthalmology | 4720 S I 10 Service Rd W Ste 410, Metairie, LA 70001 | 2018-06-04 |
1700382207 | Kalah Mackenzie Arnett | Student in an Organized Health Care Education/Training Program | 4740 So. I-10 Service Rd., Suite 120, Metairie, LA 70001 | 2018-04-03 |
1396240974 | Saba Farooq | Student in an Organized Health Care Education/Training Program | 4740 So. I-10 Service Rd., Suite 120, Metairie, LA 70001 | 2018-03-27 |
1427559046 | Ambulatory Care Specialists of New Orleans | Clinic/Center | 2520 Harvard Ave Ste 2a, Metairie, LA 70001 | 2018-02-28 |
1023527165 | Jessica Jones | Social Worker | 3616 South I-10 Service Road W, Metairie, LA 70001 | 2017-09-20 |
1033633979 | Priscilla Williams | Counselor | 2325 Pasadena Ave, Apt. K, Metairie, LA 70001 | 2017-08-02 |
Find all providers in zip 70001 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598374225 | Maya M Robair | Technician/Technologist | 2601 N Hullen St Ste 206, Metairie, LA 70002-5939 | 2020-07-28 |
1083845655 | Mark E Krulisky | Technician/Technologist | 2016 Clearview Pkwy, Metairie, LA 70001-2411 | 2009-07-30 |
1730565292 | Tommy Tan Pham | Technician/Technologist | 3848 Veterans Memorial Blvd, # 202, Metairie, LA 70002-5671 | 2015-08-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396201869 | National Vision Inc | Technician/Technologist | 3050 Holiday Dr, New Orleans, LA 70131-8232 | 2019-02-20 |
1942773965 | National Vision Inc | Technician/Technologist | 3221 Louisiana Ave Ste 104, Lafayette, LA 70501-1413 | 2019-01-03 |
1336633528 | Cherie Lewis | Technician/Technologist | 257 Lee Dr Ste B, Baton Rouge, LA 70808-4977 | 2018-06-20 |
1164942629 | National Vision, Inc. | Technician/Technologist | 312 Palace Dr, Hammond, LA 70403-6071 | 2017-06-26 |
1760926935 | Smarter Eyewear LLC | Technician/Technologist | 3535 Perkins Rd Ste 330, Baton Rouge, LA 70808-2292 | 2016-12-07 |
1336513993 | Wal-mart Stores East, Lp | Technician/Technologist | 4701 Nothport Blvd, Shreveport, LA 71107 | 2015-11-19 |
1780097667 | Sam's East, Inc | Technician/Technologist | 2861 Beene Blvd, Bossier City, LA 71111-5575 | 2014-06-09 |
1184047169 | Wal-mart Stores East, Lp | Technician/Technologist | 1331 Hwy 51, Ponchatoula, LA 70454 | 2014-01-28 |
1881026110 | John Olan Cook | Technician/Technologist | 3535 Perkins Rd, Suite 330, Baton Rouge, LA 70808-2262 | 2013-08-09 |
1043583784 | Wal-mart Stores East Lp | Technician/Technologist | 34025 La Hwy 16, Denham Springs, LA 70706 | 2012-02-10 |
Find all providers with the same taxonomy |
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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.