Sam's Club Optical

NPI #1144310384 in Hermantown, Minnesota

Provider Information

NPI Number: 1144310384
Entity Type: Organization
Organization Name: Sam's Club Optical
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 16, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 4743 MAPLE GROVE RD
City: Hermantown
State: Minnesota
ZIP Code: 55811-3920
Phone: (218) 722-9740

Authorized Official

Name: LINDA M. EPPERSON
Title: NPI COORDINATOR
Phone: (316) 788-5580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X
Eyewear Supplier	332H00000X	Primary

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