Organization · Type 2 NPI
Sam's Club Optical
Eyewear Supplier · Phoenix, AZ
NPI number
1508955295
Active
Practice location
17401 N Holmes Blvd
Phoenix, AZ 85053-1900
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.
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About NPI 1508955295
Sam's Club Optical's National Provider Identifier is 1508955295, issued on Oct 12, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 11, 2025.