Organization · Type 2 NPI
Sam's Club Optical
Eyewear Supplier · Logan, UT
NPI number
1205911146
Active
Practice location
145 W Cache Valley Blvd
Logan, UT 84341-8473
Mailing address
702 SW 8th St
Bentonville, AR 72716-6209
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.
3 other providers at this address
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About NPI 1205911146
Sam's Club Optical's National Provider Identifier is 1205911146, issued on Oct 26, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Logan, UT. The record was last updated on Sep 11, 2025.