OrganizationActive
Sam'S Club Optical
NPI 1104912161 · Eyewear Supplier · Normal, IL
Sam'S Club Optical is a Eyewear Supplier organization in Normal, IL (NPI 1104912161).
Provider details
- NPI number
- 1104912161
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Linda Epperson, Npi Coordinator(316) 788-5580
Specialties & taxonomies
Suppliers
- Optician156FX1800X
Eye and Vision Services Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2151 Shepard Rd
Normal, IL 61761-6414
Phone: (309) 454-3138
Street-level locationGet directions
Mailing address
702 Sw 8th Street
Bentonville, AR 72716-0235
Other names (DBA / former)
- Doing business as
- Sam'S Club Optical 30-4815
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2025-09-11
Frequently asked questions
- What is Sam'S Club Optical's NPI number?
- Sam'S Club Optical's National Provider Identifier (NPI) is 1104912161, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sam'S Club Optical?
- Sam'S Club Optical is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Sam'S Club Optical located?
- Sam'S Club Optical's practice location on file with NPPES is 2151 Shepard Rd, Normal, IL 61761-6414.
- What is Sam'S Club Optical's phone number?
- The practice phone number listed in the NPPES registry for Sam'S Club Optical is (309) 454-3138.
- Who is the authorized official for Sam'S Club Optical?
- The authorized official listed on Sam'S Club Optical's NPPES record is Linda Epperson, Npi Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sam'S Club Optical's NPI active?
- Yes — Sam'S Club Optical's NPI (1104912161) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.