SAM'S CLUB OPTICAL NPI 1124127642

NPI Information

NPI: 1124127642
Provider Name: SAM'S CLUB OPTICAL

Doing Business As: SAM'S CLUB OPTICAL

Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
2700 N SALISBURY BLVD
SALISBURY, MD
ZIP 21801
Phone: (410) 573-1112
Get Directions

SAM'S CLUB OPTICAL is an optician technician technologist in Salisbury, MD. SAM'S CLUB OPTICAL NPI is 1124127642. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Sam's Club Optical.

The provider's business location address is:

2700 N SALISBURY BLVD
SALISBURY, MD
ZIP 21801-143
Phone: (410) 573-1112

The provider's authorized official is Linda M. Epperson .
The authorized official title is Npi Coordinatoe and has the following contact phone number (316) 788-5580.

The CLIA number assigned to this NPI record is 21D2145234 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1800X	Technician/Technologist	Optician			Yes
2	332H00000X	Eyewear Supplier				X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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