SAM'S CLUB OPTICAL (NPI# 1891892139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891892139 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Other Organization Name | SAM'S CLUB OPTICAL 30-6359 |
| Practice Address |
3901 Alpine Ave Nw Comstock Park MI 49321-8350 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Practice Telephone | 6167850001 |
| Enumeration Date | 2006-09-20 |
| 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 30-6359 | 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 |
3901 ALPINE AVE NW |
| City | COMSTOCK PARK |
| State | MI |
| Zip Code | 49321-8350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578581435 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 3901 Alpine Ave Nw, Comstock Park, MI 49321-8350 | 2006-07-18 |
| 1225642408 | Alpine Vision Center Pllc | Optometrist | 3901 Alpine Ave Nw, Comstock Park, MI 49321-8350 | 2020-09-03 |
| 1679048995 | Mohamad G Beydoun | Pharmacist | 3901 Alpine Ave Nw, Comstock Park, MI 49321-8350 | 2018-10-13 |
| 1124512447 | Matthew Black | Optometrist | 3901 Alpine Ave Nw, Comstock Park, MI 49321-8350 | 2018-06-20 |
| 1063961167 | Linda Lee Ide-way | Pharmacist | 3901 Alpine Ave Nw, Comstock Park, MI 49321-8350 | 2016-09-29 |
| 1821463266 | Dana Bryan | Pharmacist | 3901 Alpine Ave Nw, Comstock Park, MI 49321-8350 | 2015-12-10 |
| 1659434389 | Jeffrey Michael Thompson | Optometrist | 3901 Alpine Ave Nw, Comstock Park, MI 49321-8350 | 2006-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386170546 | Carlie Little | Rehabilitation Practitioner | 3913 Leland Ave. Nw, Comstock Park, MI 49321 | 2017-05-10 |
| 1417497892 | Debra Andree | Custodial Care Facility | 609-7 Mile Rd Nw, Comstockpark, MI 49321 | 2017-03-03 |
| 1821484700 | Allan Smith | Registered Nurse | 441 Chasseral Dr Ne, Apt A1, Comstock Park, MI 49321 | 2015-04-08 |
| 1518083864 | Alpine Family Dentistry PC | Dentist | 4040 Alpine Ave Nw, Comstock Park, MI 49321 | 2007-03-21 |
| 1548345630 | James P Patyi | Optometrist | 3999 Alpine Ave, Comstock Park, MI 49321 | 2006-10-26 |
| 1871689638 | Kent Pediatrics, PC | Pediatrics | 4735 West River Dr., Comstock Park, MI 49321 | 2006-10-05 |
| 1053804534 | Zachary Eddy | Physical Therapist | 4615 W River Dr Ne, Comstock Park, MI 49321-7924 | 2018-06-11 |
| 1326052929 | Gregory P. Houghteling | Dentist | 6655 Alpine Ave Nw, Comstock Park, MI 49321-8000 | 2006-07-28 |
| 1194084780 | Detalmax PC | Dentist | 6655 Alpine Ave Nw, Suite 1, Comstock Park, MI 49321-8000 | 2012-05-16 |
| 1154361293 | Jeffrey John Vrielink | Psychiatry & Neurology | 6410 Alpine Ave Nw, Suite A, Comstock Park, MI 49321-8001 | 2006-06-07 |
| Find all providers in zip 49321 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962586115 | Wal-mart Stores East, Lp | Technician/Technologist | 3999 Alpine Ave Nw, Comstock Park, MI 49321-8350 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588201420 | William Wise | Technician/Technologist | 410 North St, Otisville, MI 48463-9705 | 2019-12-10 |
| 1033750658 | American Eye Institute Optical Inc | Technician/Technologist | 2300 Haggerty Rd Ste 1100, West Bloomfield, MI 48323-2185 | 2019-10-04 |
| 1225595705 | National Vision Inc | Technician/Technologist | 1328 S Rochester Rd, Rochester Hills, MI 48307-3124 | 2019-02-21 |
| 1184191306 | National Vision Inc | Technician/Technologist | 50697 Waterside Dr, Chesterfield, MI 48051-4008 | 2018-10-25 |
| 1275045916 | W. Optical 4 LLC | Technician/Technologist | 1004 28th St Sw, Wyoming, MI 49509-2881 | 2017-11-03 |
| 1164932489 | Salim Rufo Auraha | Technician/Technologist | 3747 15 Mile Rd, Sterling Heights, MI 48310-5358 | 2017-10-02 |
| 1720527955 | Wal-mart Stores East, Lp | Technician/Technologist | 2755 W Holton-whitehall Rd, Whitehall, MI 49461 | 2017-02-21 |
| 1811434293 | Joseph Frye-dandridge | Technician/Technologist | 18669 Oakfield St, Detroit, MI 48235-3060 | 2017-01-24 |
| 1689110710 | W. Optical 2 LLC | Technician/Technologist | 3233 Alpine Ave Nw Ste A, Grand Rapids, MI 49544-1631 | 2017-01-12 |
| 1811377740 | Kat Stannis LLC | Technician/Technologist | 1794 N Old Us 23, Howell, MI 48843-7193 | 2015-06-05 |
| Find all providers with the same taxonomy | ||||
| City | COMSTOCK PARK |
| Zip Code | 49321 |
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.