SAM'S CLUB OPTICAL (NPI# 1548583206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548583206 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-6536 |
| Practice Address |
901 Airport Center Dr Allentown PA 18109-9384 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0235 |
| Practice Telephone | 6102665201 |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |
| Authorized Official Name | HOLLY C WILKINSON (CARRIER SPECIALIST) |
| Authorized Official Telephone | 4792048320 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Sam's Club Optical 30-6536 | 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 |
901 AIRPORT CENTER DR |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18109-9384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043547854 | Sams East Inc | Pharmacy | 901 Airport Center Dr, Allentown, PA 18109-9384 | 2009-11-16 |
| 1184225716 | John A Maruscak | Pharmacist | 901 Airport Center Dr, Allentown, PA 18109-9384 | 2020-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417422759 | Dinamarca Cedeno | Counselor | 406 Hanover Av, Allentown, PA 18109 | 2018-10-12 |
| 1740777937 | St. Luke's Physician Group, Inc. | Family Medicine | 1202 Hanover Ave, Allentown, PA 18109 | 2018-04-13 |
| 1730622010 | Dana Joyce Morgan-buck | Assistant Behavior Analyst | 881 Macron Blvd, Suite 3900, Allentown, PA 18109 | 2016-11-18 |
| 1043562226 | Linda Lucille Getz-phillips | Social Worker | 1530 Hanover Ave, Allentown, PA 18109 | 2012-10-11 |
| 1033442280 | Recovercare, LLC | Durable Medical Equipment & Medical Supplies | 964 Marcon Blvd., Suite 110, Allentown, PA 18109 | 2009-09-04 |
| 1881888394 | Lisa Anne Churinskas-hulit | Social Worker | 1530 Hanover Avenue, Allentown, PA 18109 | 2007-08-29 |
| 1700925104 | Jeffrey Daryl Kindler | Psychologist | 801 E Green St, Kids Peace Bhrs, Allantown, PA 18109 | 2007-02-05 |
| 1912059585 | Kimberly Lynn Bonner | Social Worker | 961 Marcon Blvd, Suite 312, Allentown, PA 18109 | 2007-01-17 |
| 1013066224 | Joseph Barchini | Chiropractor | 771 Hanover Avenue, Allentown, PA 18109 | 2007-01-09 |
| 1700949161 | Glenn R Koch and Associates Inc | Psychiatry & Neurology | 961 Marcon Boulevard, Suite 312, Allentown, PA 18109 | 2006-12-18 |
| Find all providers in zip 18109 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962876961 | Maribel Hernandez | Technician/Technologist | 731 1/2 N 7th St Apt 1, Allentown, PA 18102-1635 | 2015-11-14 |
| 1205918869 | Wal-mart Stores East, Lp | Technician/Technologist | 1091 Millcreek Rd, Allentown, PA 18106-9157 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332445 | Kevin Lee Treat | Technician/Technologist | 144 Bear Hollow Ln, Falls, PA 18615-7777 | 2020-09-29 |
| 1316585102 | Devrick Jamal Cliett Sr. | Technician/Technologist | 225 Wilmington Pike, Suite 200, Chadds Ford, PA 19317 | 2019-12-12 |
| 1407409568 | Leslie Pinkney | Technician/Technologist | 4902 Pulaski Ave, Philadelphia, PA 19144-4131 | 2019-07-18 |
| 1770140816 | Optical Shop of New Hope Inc. | Technician/Technologist | 102 S Main St Ste C, New Hope, PA 18938-2200 | 2019-05-23 |
| 1164988622 | National Vision Inc | Technician/Technologist | 1136 Commerce Blvd, Dickson City, PA 18519-1688 | 2019-02-20 |
| 1033673595 | National Vision Inc | Technician/Technologist | 1930 Douglas Pkwy Ste 54, Erie, PA 16509-7304 | 2019-01-29 |
| 1245712520 | Milissa Parker | Technician/Technologist | 521 S Oxford Valley Rd, Fairless Hills, PA 19030-2612 | 2018-09-03 |
| 1619469673 | National Vision, Inc. | Technician/Technologist | 1265 Knapp Rd, North Wales, PA 19454-1831 | 2018-06-05 |
| 1326536335 | Mark Jay Miller | Technician/Technologist | 3617 Sipler Ln, Huntingdon Valley, PA 19006-3223 | 2018-04-25 |
| 1861995938 | Spectix Haverford | Technician/Technologist | 222 W Rittenhouse Sq, Philadelphia, PA 19103-5705 | 2018-03-14 |
| 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.