Organization · Type 2 NPI

Sam's Club Optical

Eyewear Supplier · Normal, IL

NPI number 1104912161 Active

Practice location

2151 Shepard Rd
Normal, IL 61761-6414

Call (309) 454-3138 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.

5 other providers at this address

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About NPI 1104912161

Sam's Club Optical's National Provider Identifier is 1104912161, issued on Oct 5, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Normal, IL. The record was last updated on Sep 11, 2025.