SAM'S CLUB OPTICAL (NPI# 1881876118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881876118 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-8186 |
| Practice Address |
440 Payne Rd Scarborough ME 04074-8928 |
| Mailing Address |
702 Sw 8th St. Bentonville AR 72716-0235 |
| Practice Telephone | 2078835553 |
| Mailing Telephone | 4792779373 |
| Mailing Fax Number | 4792779373 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |
| Authorized Official Name | DAVID J. SIMMONS (NPI ASSOCIATE) |
| Authorized Official Telephone | 4792779373 |
| 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 30-8186 | 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 |
440 PAYNE RD |
| City | SCARBOROUGH |
| State | ME |
| Zip Code | 04074-8928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779325 | Cindy Hankston | Pharmacist | 440 Payne Rd, Scarborough, ME 04074-8928 | 2020-10-30 |
| 1528554920 | Wesley Day | Pharmacist | 440 Payne Rd, Scarborough, ME 04074-8928 | 2018-07-09 |
| 1144483520 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 440 Payne Rd, Scarborough, ME 04074-8928 | 2008-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462443 | Jennifer Marlowe | Counselor | Crossroads Maine 71-us-1, Scarborough, ME 04074 | 2020-09-16 |
| 1508475724 | Whole Medicine LLC | Family Medicine | 2o Mussey Road, Suite 2, Scarborough, ME 04074 | 2020-07-23 |
| 1154957793 | Maria Robin Libby | Occupational Therapist | 144 Us-1 #4, Scarborough, ME 04074 | 2020-03-16 |
| 1558902932 | Daphne Berta Counseling P.C. | Counselor | 636 Route 1, Scarborough, ME 04074 | 2019-10-07 |
| 1619450574 | Louise Valati | Physical Therapist | Piper Shores, 15 Piper Road, Scarborough, ME 04074 | 2018-09-07 |
| 1770001315 | Emily Dunuwila | Massage Therapist | 51 Us Route One Suite R2, Scarborough, ME 04074 | 2017-09-04 |
| 1750808788 | Jill Daicey Hutchison | Physical Therapy Assistant | 67 Pine Point Road, Scarborough, ME 04074 | 2017-08-30 |
| 1457887580 | Rebecca Shaw | Social Worker | 119 Ash Swamp Road, Scarborough, ME 04074 | 2017-05-10 |
| 1184168767 | Jessica Ann Kaake | Occupational Therapist | 308 Us Route 1 Ste E1, Scarborough, ME 04074 | 2016-12-15 |
| 1356895056 | Nancy Gaudet | Counselor | 6 Catherine Drive, Scarborough, ME 04074 | 2016-08-10 |
| Find all providers in zip 04074 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619530524 | Christopher Morgan Wheaton | Technician/Technologist | 93 Washington Ave Unit 2, Portland, ME 04101-2618 | 2019-04-16 |
| 1760856504 | Usv Optical Inc. | Technician/Technologist | 164 Longview Dr, Bangor, ME 04401-3631 | 2015-11-17 |
| 1265759773 | Camkay | Technician/Technologist | 336 Mthope Ave, Bangor, ME 04401 | 2010-04-23 |
| 1487898508 | Elizabeth A Morse | Technician/Technologist | 272 State Street, Optical Outlet, LLC, Brewer, ME 04412 | 2009-04-21 |
| 1346485240 | Gilbert A Poliquin | Technician/Technologist | 50 Lisbon St, Lewiston, ME 04240-7116 | 2008-12-05 |
| 1528216751 | Maine Professional Opticians and Hearing Aid Center | Technician/Technologist | 226 Western Ave, Augusta, ME 04330-6126 | 2008-08-29 |
| 1730370420 | John Stanton Macinnes | Technician/Technologist | 885 Union Street, Suite 140, Bangor, ME 04401-3082 | 2007-08-07 |
| 1053455782 | Keeoli Corp Dba Vipeyes | Technician/Technologist | 1041 Brighton Ave, Portland, ME 04102-1042 | 2007-02-16 |
| 1427191907 | Falmouth Vision Center | Technician/Technologist | 204 Us Route One, Falmouth, ME 04105 | 2007-02-15 |
| 1386794196 | Village Optical,inc | Technician/Technologist | 464 Main St Centre, Damariscotta, ME 04543 | 2007-01-12 |
| Find all providers with the same taxonomy | ||||
| City | SCARBOROUGH |
| Zip Code | 04074 |
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.