SAM'S CLUB OPTICAL NPI 1902982747

NPI Information

NPI: 1902982747
Provider Name: SAM'S CLUB OPTICAL

Doing Business As: SAM'S CLUB OPTICAL 30-8195

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
69 PAVILION DR
MANCHESTER, CT
ZIP 06042
Phone: (860) 644-5593
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SAM'S CLUB OPTICAL is an eyewear supplier in Manchester, CT. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. SAM'S CLUB OPTICAL NPI is 1902982747. The provider is registered as an organization entity type.
The provider Is Doing Business As Sam's Club Optical 30-8195.

The provider's business location address is:

69 PAVILION DR
MANCHESTER, CT
ZIP 06042-702
Phone: (860) 644-5593

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 enumeration date for this NPI number is 10/27/2006 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	332H00000X	Eyewear Supplier				Yes
2	156FX1800X	Technician/Technologist	Optician			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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