Sam's Club Optical

NPI #1316042419 in Kingsport, Tennessee

Provider Information

NPI Number: 1316042419
Entity Type: Organization
Organization Name: Sam's Club Optical
Primary Specialty: Eyewear Supplier
Enumeration Date: Sep 13, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 1027 SAM WALTON DR
City: Kingsport
State: Tennessee
ZIP Code: 37663-3967
Phone: (423) 323-1120

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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