Organization · Type 2 NPI
Sam's Club Optical
Eyewear Supplier · Grand Prairie, TX
NPI number
1669554010
Active
Practice location
2325 W Interstate 20
Grand Prairie, TX 75052-3927
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.
3 other providers at this address
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About NPI 1669554010
Sam's Club Optical's National Provider Identifier is 1669554010, issued on Oct 19, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Grand Prairie, TX. The record was last updated on Sep 11, 2025.