Organization · Type 2 NPI

Sam's Club Optical

Eyewear Supplier · Mcdonough, GA

NPI number 1053403600 Active

Practice location

1765 Jonesboro Rd
Mcdonough, GA 30253-5969

Call (770) 914-0488 Map

Mailing address

702 SW 8th Street
Bentonville, AR 72716-0235

Specialties and licenses

TaxonomyCodeLicense
Optician 156FX1800XNone listed
Eyewear Supplier Primary 332H00000XNone listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

4 other providers at this address

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About NPI 1053403600

Sam's Club Optical's National Provider Identifier is 1053403600, issued on Sep 29, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Mcdonough, GA. The record was last updated on Sep 11, 2025.