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SAM'S CLUB OPTICAL NPI 1689763484


NPI Information

NPI: 1689763484
Provider Name: SAM'S CLUB OPTICAL

Doing Business As: SAM'S CLUB OPTICAL 30-6408

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

Specialization: Optician

CLIA Number: 32D2133806

Address:
4201 RODEO RD
SANTA FE, NM
ZIP 87507
Phone: (505) 471-8625
Get Directions

SAM'S CLUB OPTICAL is an optician technician technologist in Santa Fe, NM. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. SAM'S CLUB OPTICAL NPI is 1689763484. 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 30-6408.

The provider's business location address is:

4201 RODEO RD
SANTA FE, NM
ZIP 87507-837
Phone: (505) 471-8625

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

The CLIA number assigned to this NPI record is 32D2133806 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1156FX1800XTechnician/TechnologistOpticianYes
2332H00000XEyewear SupplierX

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: 4/28/2024

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