Organization · Type 2 NPI
Sam's Club Optical
Eyewear Supplier · Granville, WV
NPI number
1154412724
Active
Practice location
5045 University Town Center Dr
Granville, WV 26501-2267
Fax (304) 598-3186
Mailing address
1 Customer Dr, Ms 0445
Bentonville, AR 72716-0445
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.
About NPI 1154412724
Sam's Club Optical's National Provider Identifier is 1154412724, issued on Sep 27, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Granville, WV. The record was last updated on Sep 29, 2025.