Organization · Type 2 NPI

Sam's Club Optical

Eyewear Supplier · Idaho Falls, ID

NPI number 1902990930 Active

Practice location

700 E 17th St
Idaho Falls, ID 83404-6152

Call (208) 529-2300 Map

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.

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About NPI 1902990930

Sam's Club Optical's National Provider Identifier is 1902990930, issued on Oct 3, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Sep 11, 2025.