OrganizationActive
Sam'S Club Optical
NPI 1609962943 · Eyewear Supplier · Southaven, MS
Provider details
- NPI number
- 1609962943
- 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
Practice location
465 Goodman Rd E
Southaven, MS 38671-9525
Phone: (662) 349-0723
Approximate (ZIP-level) locationGet directions
Mailing address
702 Sw 8th Street
Bentonville, AR 72716
Other names (DBA / former)
- Doing business as
- Sam'S Club Optical 30-4740
Registry dates
- Enumerated
- 2006-10-05
- 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.