Organization · NPI-2

Sam'S Club Optical

Eyewear Supplier (Equipment, not the service) · Little Rock, AR

NPI number1073603312
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1073603312
Entity type
Organization (NPI-2)
Legal business name
Sam'S Club Optical
Organization subpart
No
Enumeration date
Oct 16, 2006
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332H00000X Eyewear Supplier (Equipment, not the service)––Yes
156FX1800X Technician/Technologist, Optician––

Other names

  • Sam'S Club Optical 30-8104 (Doing Business As)

Practice location

900 S Bowman Rd
Little Rock, AR 72211-3617

Phone 501-227-7119

Mailing address

702 Sw 8th Street
Bentonville, AR 72716-0235

Authorized official

Linda M. Epperson
Npi Coordinator
3167885580

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Eyewear Supplier (Equipment, not the service) providers in Little Rock, AR