SAM'S CLUB OPTICAL – NPI #1295815678
Eyewear Supplier

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

SAM'S CLUB OPTICAL is an eyewear supplier located in O'FALLON, IL. NPPES has assigned the NPI number 1295815678 to SAM'S CLUB OPTICAL on October 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 332H00000X from the Health Care Provider Taxonomy code set, which is classified as Eyewear Supplier.

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAM'S CLUB OPTICAL below.

NPI Profile for
SAM'S CLUB OPTICAL

NPI Number
1295815678
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAM'S CLUB OPTICAL
Primary location
1350 W. HIGHWAY 50
O'FALLON, IL 62269
Phone: (618) 632-7878 Fax:
Mailing address
702 SW 8TH STREET
BENTONVILLE, AR 72716-0235
Phone: Fax:
Organization Subpart
No
Authorized Official
LINDA EPPERSON
NPI COORDINATOR
Phone: (316) 788-5580
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
332H00000X
- Eyewear Supplier (Primary)
156FX1800X
- Technician/Technologist / Optician

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.