Active NPI
Sam's Club Optical
Doing business as Sam's Club Optical 30-6406
- Optician
- Niagara Falls, NY
National Provider Identifier
1144402470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- SAM'S CLUB OPTICAL
- Doing business as
- Sam's Club Optical 30-6406
- Practice address
- 5535 Porter Rd
Niagara Falls, NY 14304-1521 - Phone
- (716) 298-5379
- NPI assigned
- Nov 28, 2007
- Last updated
- Nov 28, 2007
- 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
- David J Simmons
- Title
- Npi Associate
- Phone
- (479) 277-9373
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | NU | ||
| Optician | 156FX1800X | NU | Primary |
Addresses
Primary practice location
5535 Porter Rd
Niagara Falls, NY 14304-1521
Mailing address
702 SW 8TH St
Bentonville, AR 72716-0235
Phone (479) 277-9373
Other names 1
- Sam's Club Optical 30-6406
National Provider Directory
National Provider Directory- Tax ID family
- Sams Club Optical
Organizations with this tax ID in the same state 16
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Locations
5535 Porter Rd
Niagara Falls, NY 14304
Phone (716) 298-5120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196208000000",
"number": "1144402470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 SW 8TH ST",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727160235",
"telephone_number": "479-277-9373",
"fax_number": "479-277-8176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5535 PORTER RD",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143041521",
"telephone_number": "716-298-5379"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAM'S CLUB OPTICAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-28",
"last_updated": "2007-11-28",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "NPI ASSOCIATE",
"authorized_official_telephone_number": "479-277-9373"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sam's Club Optical 30-6406",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Niagara Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.