Organization · Type 2 NPI
Sam's Club Optical
Eyewear Supplier · Hermantown, MN
NPI number
1144310384
Active
Practice location
4743 Maple Grove Rd
Hermantown, MN 55811-3920
Mailing address
702 SW 8th Street
Bentonville, AR 72716-0235
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optician | 156FX1800X | None listed |
| Eyewear Supplier Primary | 332H00000X | None 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
Other eyewear supplier providers in Hermantown
About NPI 1144310384
Sam's Club Optical's National Provider Identifier is 1144310384, issued on Oct 16, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Hermantown, MN. The record was last updated on Sep 11, 2025.