SAM'S CLUB OPTICAL NPI 1851575831

NPI Information

NPI: 1851575831
Provider Name: SAM'S CLUB OPTICAL

Doing Business As: SAM'S CLUB OPTICAL 30-4829

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

Specialization: Optician

Address:
2621 S MARKET ST
GILBERT, AZ
ZIP 85295
Phone: (480) 722-9976
Get Directions

SAM'S CLUB OPTICAL is an optician technician technologist in Gilbert, AZ. SAM'S CLUB OPTICAL NPI is 1851575831. The provider is registered as an organization entity type.
The provider Is Doing Business As Sam's Club Optical 30-4829.

The provider's business location address is:

2621 S MARKET ST
GILBERT, AZ
ZIP 85295
Phone: (480) 722-9976

The provider's authorized official is David J Simmons .
The authorized official title is Npi Associate and has the following contact phone number (479) 277-9373.

The CLIA number assigned to this NPI record is 03D2126899 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/26/2007 and was last updated on 12/26/2007.

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	332H00000X	Eyewear Supplier				No
2	156FX1800X	Technician/Technologist	Optician			Yes

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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