Sam's Club Optical

NPI #1205930633 in Warren, Ohio

Provider Information

NPI Number: 1205930633
Entity Type: Organization
Organization Name: Sam's Club Optical
Primary Specialty: Eyewear Supplier
Enumeration Date: Sep 7, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 1040 NILES CORTLAND RD SE
City: Warren
State: Ohio
ZIP Code: 44484-2539
Phone: (330) 856-7411

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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