SAM'S CLUB OPTICAL (NPI# 1538244264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538244264 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-6420 |
| Practice Address |
2575 Gulf To Bay Blvd Clearwater FL 33765-4433 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-6209 |
| Practice Telephone | 7277918081 |
| Enumeration Date | 2006-10-25 |
| 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 30-6420 | 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 |
2575 GULF TO BAY BLVD |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33765-4433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497772891 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 2575 Gulf To Bay Blvd, Clearwater, FL 33765-4433 | 2006-07-16 |
| 1619577970 | Kyle Botti | Pharmacist | 2575 Gulf To Bay Blvd, Clearwater, FL 33765-4433 | 2020-10-27 |
| 1740880905 | Ashish Soni | Pharmacist | 2575 Gulf To Bay Blvd, Clearwater, FL 33765-4433 | 2020-10-27 |
| 1134596729 | Daryl Grebner | Pharmacist | 2575 Gulf To Bay Blvd, Clearwater, FL 33765-4433 | 2015-08-31 |
| 1952649717 | Toni Renee Betz | Optometrist | 2575 Gulf To Bay Blvd, Clearwater, FL 33765-4433 | 2013-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023654449 | Seawa Enterprise LLC | Durable Medical Equipment & Medical Supplies | 1802 North Belcher Road, Suite 100, Clearwater, FL 33765 | 2019-11-20 |
| 1962996140 | Jeremy Scott Martin | Clinic/Center | 2481 N.e. Coachman Rd, Clearwater, FL 33765 | 2018-06-20 |
| 1891172078 | Comprehensive Surgery Center LLC | Clinic/Center | 407 Aurora Ave, Clearwater, FL 33765 | 2015-04-27 |
| 1184050411 | Anthony Richard Cheslock | Dentist | 1831 Belcher Road North, 1-b, Clearwater, FL 33765 | 2013-09-18 |
| 1548609522 | Andrew S Cormier | Optometrist | 2288 Drew Street, Suite B, Clearwater, FL 33765 | 2013-06-23 |
| 1124372412 | Kelly Ann Potts | Acupuncturist | 112 Evelyn Avenue, Clearwater, FL 33765 | 2012-11-08 |
| 1235402876 | Jerry N Karasick | Chiropractor | 901 N. Hercules Ave, Ste C, Clearwater, FL 33765 | 2012-02-13 |
| 1538329362 | Aei Diagnostic Imaging LLC | Clinic/Center | 1831 N Belcher Road, D Building, Clearwater, FLORIDA 33765 | 2008-06-16 |
| 1700053311 | Loredana Repetto | Social Worker | 2329 Sunset Point Road, Suite 203, Clearwater, FL 33765 | 2008-05-13 |
| 1679741920 | Kussel & Associates Inc. | Podiatrist | 2378 Sunset Point Rd, Clearwater, FL 33765 | 2008-02-20 |
| Find all providers in zip 33765 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992223143 | Nationwide Vision Center, Inc. | Technician/Technologist | 27001 Us 19 N, Inside Jcpenney, Clearwater, FL 33761-3402 | 2017-09-07 |
| 1972027928 | Nationwide Vision Center, LLC | Technician/Technologist | 2679 Gulf To Bay Blvd Ste 560&570, Clearwater, FL 33759-4947 | 2017-08-01 |
| 1295103174 | National Vision, Inc. | Technician/Technologist | 30355 Us Highway 19 N, Clearwater, FL 33761-1052 | 2015-09-09 |
| 1801984018 | Stephen John Fulgieri | Technician/Technologist | 1269 S Missouri Ave, Clearwater, FL 33756-4174 | 2006-10-11 |
| 1487090551 | Eyeglass World | Technician/Technologist | 2660 Gulf To Bay Blvd, Clearwater, FL 33759-3901 | 2013-05-16 |
| 1184900235 | Visionworks, Inc. | Technician/Technologist | 912 S Missouri Ave, Clearwater, FL 33756 | 2011-11-02 |
| 1760574222 | Wal-mart Stores East, Lp | Technician/Technologist | 23106 Us Highway 19 N, Clearwater, FL 33765-1849 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767405 | Michelle Mattera Starkey | Technician/Technologist | 1633 Taylor Rd # 104, Port Orange, FL 32128-6754 | 2020-10-13 |
| 1346848249 | Elizabeth Mary Howard | Technician/Technologist | 1633 Taylor Rd Unit 104, Port Orange, FL 32128-6754 | 2020-10-13 |
| 1992311492 | Conway Optical Company | Technician/Technologist | 3834 Curry Ford Rd, Orlando, FL 32806-2708 | 2020-09-20 |
| 1689283160 | Magnum Bien Aime | Technician/Technologist | 1860 N Pine Island Rd Ste 105, Plantation, FL 33322-5234 | 2020-07-30 |
| 1073121430 | Elvira R Diez | Technician/Technologist | 950 Bluewood Ter, Weston, FL 33327-2049 | 2020-07-21 |
| 1598373219 | Jocelyn Dorfils | Technician/Technologist | 4135 Dr Martin Luther King Blvd, Fort Myers, FL 33916-4809 | 2020-07-20 |
| 1376161000 | Carla Stocker | Technician/Technologist | 7410 Daetwyler Dr, Orlando, FL 32812-3726 | 2020-07-09 |
| 1306464292 | Christian Gonzalez | Technician/Technologist | 4135 Dr Martin Luther King Blvd # G16, Fort Myers, FL 33916-4809 | 2020-07-08 |
| 1245867902 | Cindy Perry Toepfer | Technician/Technologist | 264 Tamiami Trl S, Venice, FL 34285-2419 | 2020-03-24 |
| 1518593367 | Sand Vision LLC | Technician/Technologist | 706 Sw Pine Island Rd # 102, Cape Coral, FL 33991 | 2020-03-12 |
| Find all providers with the same taxonomy | ||||
| City | CLEARWATER |
| Zip Code | 33765 |
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.