Sam'S Club Optical

Eyewear Supplier (Equipment, not the service) in Woodbury, MN. Organization (NPI-2).

NPI number1942390885

StatusActive

Last updated in NPPESSep 11, 2025

Details

NPI: 1942390885
Entity type: Organization (NPI-2)
Legal business name: Sam'S Club Optical
Organization subpart: No
Enumeration date: Oct 13, 2006
Last updated: Sep 11, 2025

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
332H00000X	Eyewear Supplier (Equipment, not the service)	–	–	Yes
156FX1800X	Technician/Technologist, Optician	–	–

Other names

Sam'S Club Optical 30-6312 (Doing Business As)

Practice location

9925 Hudson Pl
Woodbury, MN 55125-9461

Phone 651-702-7970

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 providers in Woodbury, MN

All 10 Eyewear Supplier providers in Woodbury · All 3,087 providers in Woodbury

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