SAM'S CLUB OPTICAL; NPI #1073737441

Contact Information

SAM'S CLUB OPTICAL

29683 FREDERICK BLVD
DAPHNE, AL 36526

Phone: 251-626-6909
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Eyewear Supplier	332H00000X	87	All Other Suppliers
Optician	156FX1800X	96[5]	Optician

Indicates primary specialty

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NPI Profile & details for SAM'S CLUB OPTICAL

NPI #	`1073737441`
LBN Legal business name	SAM'S CLUB OPTICAL
Authorized official	SHIELA DOUGLAS - (NPI ASSOCIATE)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/13/2007
Last updated	09/11/2025 - About 9 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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