Organization · Type 2 NPI

Sam's Club Optical

Eyewear Supplier · Jeffersontown, KY

NPI number 1205928736 Active

Practice location

1401 Alliant Ave
Jeffersontown, KY 40299-6372

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.

6 other providers at this address

About NPI 1205928736

Sam's Club Optical's National Provider Identifier is 1205928736, issued on Sep 29, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Jeffersontown, KY. The record was last updated on Sep 11, 2025.