Organization · Type 2 NPI

Sam's Club Optical

Eyewear Supplier · Council Bluffs, IA

NPI number 1053415091 Active

Practice location

3221 Manawa Centre Dr
Council Bluffs, IA 51501-7672

Call (712) 366-0130 Map

Mailing address

702 SW 8th St
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.

3 other providers at this address

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About NPI 1053415091

Sam's Club Optical's National Provider Identifier is 1053415091, issued on Sep 11, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Council Bluffs, IA. The record was last updated on Sep 11, 2025.