Active NPI
Sam's Club Optical
Doing business as Sam's Club Optical 30-8149
- Eyewear Supplier
- Green Bay, WI
National Provider Identifier
1033214275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- SAM'S CLUB OPTICAL
- Doing business as
- Sam's Club Optical 30-8149
- Practice address
- 2470 W Mason St
Green Bay, WI 54303-4711 - Phone
- (920) 497-2112
- NPI assigned
- Sep 13, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda M. Epperson
- Title
- Npi Coordinator
- Phone
- (316) 788-5580
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary | ||
| Optician | 156FX1800X |
Addresses
Primary practice location
2470 W Mason St
Green Bay, WI 54303-4711
Mailing address
702 SW 8TH Street
Bentonville, AR 72716-0235
Other names 1
- Sam's Club Optical 30-8149
National Provider Directory
National Provider Directory- Tax ID family
- Sams Club Optical
Organizations with this tax ID in the same state 12
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Hearing Instrument Specialist
- Madison, WI
- NPI 1245788769
-
- Eyewear Supplier
- Milwaukee, WI
- NPI 1790880920
Locations
2470 W Mason St
Green Bay, WI 54303
Phone (920) 494-0536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1033214275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 SW 8TH STREET",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727160235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2470 W MASON ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543034711",
"telephone_number": "920-497-2112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAM'S CLUB OPTICAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-13",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "EPPERSON",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "NPI COORDINATOR",
"authorized_official_telephone_number": "316-788-5580"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sam's Club Optical 30-8149",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Green Bay, WI
- Jay Matthew Salmon, M.D.
- Salvanz Enterprises Inc (Lineville Health Mart Pharmacy)
- Salvanz Enterprises Inc (Lineville Health Mart Pharmacy)
- Peggi Salzman
- Joy Ann Salzwedel, MSW, LCSW, CSAC
- Patrick Jode Samels, OD
- Melanie Lynn Samonds
- Brooke Kathleen Sample, MS
- Sams East Inc (Sams Pharmacy 10-8149)
- San Luis Health Care LLC (Maple Ridge Rehabilitation and Care Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.