Organization · Type 2 NPI

Sam's Club Optical

Eyewear Supplier · Myrtle Beach, SC

NPI number 1124123914 Active

Practice location

1946 10th Avenue North
Myrtle Beach, SC 29577-5624

Call (843) 946-9521 Map

Fax (843) 916-1481

Mailing address

1 Customer Dr, Ms 0445
Bentonville, AR 72716-0445

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.

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About NPI 1124123914

Sam's Club Optical's National Provider Identifier is 1124123914, issued on Sep 14, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Oct 14, 2025.