# SAM'S CLUB OPTICAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sam's Club Optical 30-8252
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417052150
- **Authorized official:** LINDA M. EPPERSON (NPI COORDINATOR)
- **Authorized official phone:** (316) 788-5580

## Contact information

- **Practice address:** 4900 CENTRE POINTE DR, NORTH CHARLESTON, SC 29418-6927
- **Practice address phone:** (843) 529-9893
- **Mailing address:** 702 SW 8TH STREET, BENTONVILLE, AR 72716-0235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | — | NULL | — |
| 156FX1800X | Optician | — | — | — |
| 332H00000X | Eyewear Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 09/11/2025