OrganizationActive
Sam'S Club Optical
NPI 1467636449 · Optician · Port St. Lucie, FL
Sam'S Club Optical is a Optician organization in Port St. Lucie, FL (NPI 1467636449).
Provider details
- NPI number
- 1467636449
- Entity type
- Organization
- Primary specialty
- OpticianEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- David Simmons, Npi Associate(479) 277-9373
Specialties & taxonomies
Eye and Vision Services Providers
- Eyewear Supplier332H00000X
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1750 Sw Gatlin Blvd
Port St. Lucie, FL 34953
Phone: (772) 878-1307
Street-level locationGet directions
Mailing address
702 Sw 8th St
Bentonville, AR 72716-0235
Other names (DBA / former)
- Doing business as
- Sam'S Club Optical 30-4972
Registry dates
- Enumerated
- 2007-12-26
- Last updated
- 2007-12-26
Frequently asked questions
- What is Sam'S Club Optical's NPI number?
- Sam'S Club Optical's National Provider Identifier (NPI) is 1467636449, 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 Optician (Eye and Vision Services Providers).
- Where is Sam'S Club Optical located?
- Sam'S Club Optical's practice location on file with NPPES is 1750 Sw Gatlin Blvd, Port St. Lucie, FL 34953.
- What is Sam'S Club Optical's phone number?
- The practice phone number listed in the NPPES registry for Sam'S Club Optical is (772) 878-1307.
- Who is the authorized official for Sam'S Club Optical?
- The authorized official listed on Sam'S Club Optical's NPPES record is David Simmons, Npi Associate. 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 (1467636449) is active in the NPPES registry as of the last update on 2007-12-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.