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SAM'S CLUB OPTICAL NPI 1972694131


NPI Information

NPI: 1972694131
Provider Name: SAM'S CLUB OPTICAL

Doing Business As: SAM'S CLUB OPTICAL 30-4915

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

Specialization: Optician

Address:
600 HIGHWAY 95 STE 200
BULLHEAD CITY, AZ
ZIP 86429
Phone: (928) 754-3900
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SAM'S CLUB OPTICAL is an optician technician technologist in Bullhead City, AZ. SAM'S CLUB OPTICAL NPI is 1972694131. 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 30-4915.

The provider's business location address is:

600 HIGHWAY 95 STE 200
BULLHEAD CITY, AZ
ZIP 86429-005
Phone: (928) 754-3900

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 9/27/2006 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 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.