Sam's Club Optical

NPI #1790879716 in Provo, Utah

Provider Information

NPI Number: 1790879716
Entity Type: Organization
Organization Name: Sam's Club Optical
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 3, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 1313 S UNIVERSITY AVE
City: Provo
State: Utah
ZIP Code: 84601-5943
Phone: (801) 374-9700

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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