SAM'S CLUB OPTICAL (NPI# 1679664866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679664866 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-8228 |
| Practice Address |
930 Hanes Mall Blvd Winston Salem NC 27103-5527 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 3367653590 |
| Enumeration Date | 2006-09-27 |
| 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 30-8228 | 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 |
930 HANES MALL BLVD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-5527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881611051 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 930 Hanes Mall Blvd, Winston Salem, NC 27103-5527 | 2006-07-16 |
| 1962951863 | Lee Loftis | Pharmacist | 930 Hanes Mall Blvd, Winston Salem, NC 27103-5527 | 2016-10-03 |
| 1316375108 | Jennifer Thomas | Pharmacist | 930 Hanes Mall Blvd, Winston Salem, NC 27103-5527 | 2013-10-15 |
| 1184836306 | Johnny York | Optometrist | 930 Hanes Mall Blvd, Winston Salem, NC 27103 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750857413 | National Vision Inc | Technician/Technologist | 1602 S Stratford Rd Ste 120, Winston Salem, NC 27103-2924 | 2018-10-22 |
| 1487165833 | Curtis Markee Threatt | Technician/Technologist | 2700 Reynolda Rd Apt 1302, Winston Salem, NC 27106-3847 | 2017-10-12 |
| 1912178625 | Larry Eugene Harbin | Technician/Technologist | 1714 S Hawthorne Rd, Winston Salem, NC 27103-4016 | 2008-03-20 |
| 1093870909 | Wal-mart Store East, Lp | Technician/Technologist | 1330 W. Clemmnonsville Rd., Winston Salem, NC 27127 | 2006-12-22 |
| 1639276835 | Summit Eye Care, Pa | Technician/Technologist | 1714 S. Hawthorne Road, Winston Salem, NC 27103-4016 | 2006-09-20 |
| 1881865939 | Vicky Bowles Beamon | Technician/Technologist | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2008-03-17 |
| 1952422958 | Gregory Childress | Technician/Technologist | 1364 Westgate Center Dr, Winston Salem, NC 27103-2932 | 2007-04-03 |
| 1235286360 | Sonja Ann Osborne | Technician/Technologist | 3320 Silas Creek Pkwy, Suite 150, Winston Salem, NC 27103-3031 | 2007-01-04 |
| 1326133562 | Ardmore Opticians Inc | Technician/Technologist | 3001 Maplewood Ave, Winston Salem, NC 27103-4020 | 2006-10-04 |
| 1851482046 | Sam's Club Optical | Technician/Technologist | 284 Summit Square Blvd, Winston Salem, NC 27105-1461 | 2006-09-27 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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.