Organization · Type 2 NPI

Sam's Club Optical

Eyewear Supplier · Daytona Beach, FL

NPI number 1881785277 Active

Practice location

1460 Cornerstone Dr
Daytona Beach, FL 32117

Call (386) 760-2303 Map

Fax (386) 760-0952

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.

Other eyewear supplier providers in Daytona Beach

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NPI record

NPI: 1881785277
Entity type: Organization (Type 2)
Issued: Sep 28, 2006
Last updated: Jul 25, 2019
Status: Active

Other names

<unavail>
Sam's Club Optical 30-8138 · doing business as
Sam's Club Optical 30-8138 · doing business as

Authorized official

Linda M. Epperson
Npi Coordinator
(316) 788-5580

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1881785277

Sam's Club Optical's National Provider Identifier is 1881785277, issued on Sep 28, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Daytona Beach, FL. The record was last updated on Jul 25, 2019.