SAM'S CLUB OPTICAL (NPI# 1972693216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972693216 |
Entity Type | Organization |
Organization Name | SAM'S CLUB OPTICAL |
Other Organization Name | SAM'S CLUB OPTICAL 30-8107 |
Practice Address |
2235 National Blvd Sw Huntsville AL 35803-2197 |
Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
Practice Telephone | 2568818186 |
Enumeration Date | 2006-10-16 |
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 30-8107 | 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 |
2235 NATIONAL BLVD SW |
City | HUNTSVILLE |
State | AL |
Zip Code | 35803-2197 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609893916 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 2235 National Blvd Sw, Huntsville, AL 35803-2197 | 2006-07-16 |
1427659622 | Melinda Reed | Pharmacist | 2235 National Blvd Sw, Huntsville, AL 35803-2197 | 2020-11-04 |
1417595075 | Hannah Andrews | Hearing Instrument Specialist | 2235 National Blvd Sw, Huntsville, AL 35803-2197 | 2019-12-13 |
1912428384 | Coker Eye Care, LLC | Optometrist | 2235 National Blvd Sw, Huntsville, AL 35803 | 2017-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205358132 | Madison Elizabeth Malone | Student in an Organized Health Care Education/Training Program | 11019 Everest Circle, Huntsville, AL 35803 | 2017-07-12 |
1023493509 | Christopher M O'barr | Nurse Practitioner | 2604 Quail Ridge Lane Sw, Huntsville, AL 35803 | 2015-07-24 |
1063655959 | Richard Rollin Thornton | Obstetrics & Gynecology | 713 Halstead Court, Huntsville, AL 35803 | 2009-04-08 |
1538280334 | Debra Lynn Means | Nurse Practitioner | Walmart 11610 South Memorial Parkway, Huntsville, AL 35803 | 2007-04-02 |
1104894963 | Mary Elizabeth Barry | Nurse Practitioner | 10300 Bailey Cove Rd Se Ste 13, Huntsville, AL 35803 | 2006-03-09 |
1023094042 | Hospice Family Care | Hospice Care, Community Based | 10000 Serenity Lane Se, Huntsville, AL 35803 | 2005-12-21 |
1134120553 | Robert L Hash II | Neurological Surgery | 10000 Serenity Lane S.e., Huntsville, AL 35803 | 2005-08-09 |
1427571157 | Hh Health System - Caring for Life | Hospice Care, Community Based | 10000 Serenity Lane Se, Huntsville, AL 35803 | 2017-07-25 |
1316392533 | Lydia Foster Doubet Shull | Nurse Practitioner | 1425 Weatherly Rd Se, Huntsville, AL 35803 | 2016-04-25 |
1316350093 | Kathryn Jumper | Physical Therapist | 927 Franklin Street, Huntsville, AL 35803 | 2014-06-10 |
Find all providers in zip 35803 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649823014 | Kelley's Optical | Technician/Technologist | 11821 S Memorial Pkwy, Huntsville, AL 35803-3333 | 2019-07-24 |
1992265243 | Kelley Cornelius | Technician/Technologist | 7811 Smoke Rise Rd Se, Huntsville, AL 35802-3915 | 2019-03-22 |
1609042670 | William T Neill | Technician/Technologist | 3007 Memorial Pkwy Sw Ste A, Huntsville, AL 35801-5394 | 2008-04-30 |
1174607717 | Wal-mart Stores East, Lp | Technician/Technologist | 6140a University Dr., Huntsville, AL 35806 | 2006-10-24 |
1134574742 | Wal-mart Stores East, Lp | Technician/Technologist | 2165 Winchester Rd Ne, Huntsville, AL 35811-9198 | 2016-05-02 |
1225446206 | Wal-mart Stores East, Lp | Technician/Technologist | 3031 Memorial Pkwy Sw, Huntsville, AL 35801-5304 | 2014-07-23 |
1992919963 | Sherilyn Kay Hay | Technician/Technologist | 310 Clinton Ave W, Huntsville, AL 35801-5527 | 2007-05-09 |
1134264567 | Pearle Vision | Technician/Technologist | 3007 Memorial Pkwy Sw, Huntsville, AL 35801-5393 | 2007-02-21 |
1174609374 | Wal-mart Stores East, Lp | Technician/Technologist | 11610 Memorial Pkwy Sw, Huntsville, AL 35803-2152 | 2006-10-31 |
1245329192 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Sparkman Dr Nw, Huntsville, AL 35810-3820 | 2006-10-11 |
Find all providers in HUNTSVILLE |
City | HUNTSVILLE |
Zip Code | 35803 |
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.