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Sam'S Club Optical — NPI 1114007960, Fargo, ND | NPI Central

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NPI 1114007960

OrganizationActive

Sam'S Club Optical

NPI 1114007960 · Eyewear Supplier · Fargo, ND

Provider details

NPI number: 1114007960
Entity type: Organization
Primary specialty: Eyewear SupplierSuppliers
Organization subpart: No
Authorized official: Linda Epperson, Npi Coordinator(316) 788-5580

Specialties & taxonomies

Eyewear SupplierPrimary332H00000X
Suppliers
Optician156FX1800X
Eye and Vision Services Providers

Practice location

4831 13th Ave S

Fargo, ND 58103-7206

Phone: (701) 282-7997

Approximate (ZIP-level) locationGet directions

More ND providers

Mailing address

702 Sw 8th Street

Bentonville, AR 72716-0235

Other names (DBA / former)

Doing business as: Sam'S Club Optical 30-8172

Registry dates

Enumerated: 2006-10-16
Last updated: 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.