OrganizationActive
Sam'S Club Optical
NPI 1295040665 · Eyewear Supplier · Nicholasville, KY
Provider details
- NPI number
- 1295040665
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Wal-Mart Stores Inc
- Organization subpart
- Yes
- Authorized official
- Dianna Painter, Enrollment Specialist(479) 277-1238
Specialties & taxonomies
Suppliers
- Optician156FX1800X
Eye and Vision Services Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
140 Kohls Dr
Nicholasville, KY 40356
Phone: (859) 881-0431
Street-level locationGet directions
Mailing address
702 Sw 8th St.
Bentonville, AR 72716-0445
Other names (DBA / former)
- Doing business as
- Sam'S Club Optical 30-4728
Registry dates
- Enumerated
- 2010-08-10
- Last updated
- 2010-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.