Active NPI
Sam's Club Optical
Doing business as Sam's Club Optical 30-8151
- Eyewear Supplier
- Panama City, FL
National Provider Identifier
1093815896
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 30-8151
- Practice address
- 1707 W 23Rd St
Panama City, FL 32405-2916 - Phone
- (850) 769-2222
- NPI assigned
- Sep 22, 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 | NU | Primary | |
| Optician | 156FX1800X | NU |
Addresses
Primary practice location
1707 W 23Rd St
Panama City, FL 32405-2916
Mailing address
702 SW 8TH Street
Bentonville, AR 72716-0235
Other names 1
- Sam's Club Optical 30-8151
National Provider Directory
National Provider Directory- Tax ID family
- Sams Club Optical
Organizations with this tax ID in the same state 14
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Sam's Club Optical 30-4998
- Eyewear Supplier
- Lady Lake (the Villages), FL
- NPI 1093951956
-
- Eyewear Supplier
- Brooksville, FL
- NPI 1124128921
-
- Eyewear Supplier
- Lakeland, FL
- NPI 1306060777
-
- Eyewear Supplier
- Bradenton, FL
- NPI 1437240710
Locations
1707 W 23rd St
Panama City, FL 32405
Phone (850) 746-4747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1093815896",
"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": "1707 W 23RD ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324052916",
"telephone_number": "850-769-2222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAM'S CLUB OPTICAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"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": "NU",
"license": null,
"primary": true
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sam's Club Optical 30-8151",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Panama City, FL
- Amira Salman
- Marta Mauney Salter, NP-C
- Saltzman, Tanis, Pittell, Levin and Jacobson, LLC (Pediatric Associates)
- Saltzman, Tanis, Pittell, Levin and Jacobson, LLC
- Christopher K Salvino, MD
- Samir M. Ebeid
- Sams East Inc (Sams Pharmacy 10-8151)
- Michael A Samuels, MD
- Pola Sanchez-Baker, LMHC
- Angelo Luis Sanchez Jr., IDC
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.