Active NPI
Sam's Club Optical
Doing business as Sam's Club Optical 30-4961
- Optician
- Roswell, NM
National Provider Identifier
1275667990
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 30-4961
- Practice address
- 4400 North Main Street
Roswell, NM 88201 - Phone
- (505) 627-9852
- NPI assigned
- Mar 15, 2007
- Last updated
- Jul 18, 2008
- 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
- Mrs. Norma B Smith
- Title
- Npi Associate
- Phone
- (479) 277-1703
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | |||
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
4400 North Main Street
Roswell, NM 88201
Mailing address
702 SW 8TH St
Bentonville, AR 72716-0235
Phone (479) 277-1703
Other names 1
- Sam's Club Optical 30-4961
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.
Locations
4400 N Main St
Roswell, NM 88201
Phone (505) 627-9852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216339200000",
"number": "1275667990",
"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": "479-277-1703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 NORTH MAIN STREET",
"city": "ROSWELL",
"state": "NM",
"postal_code": "88201",
"telephone_number": "505-627-9852"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAM'S CLUB OPTICAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2008-07-18",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "NORMA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "NPI ASSOCIATE",
"authorized_official_telephone_number": "479-277-1703",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sam's Club Optical 30-4961",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.