Organization · Type 2 NPI

Sam's Club Optical

Eyewear Supplier · Portage, MI

NPI number 1932200896 Active

Practice location

665 Mall Dr
Portage, MI 49024-2879

Call (269) 323-2700 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 1932200896

Sam's Club Optical's National Provider Identifier is 1932200896, issued on Sep 25, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Portage, MI. The record was last updated on Sep 11, 2025.