Active NPI
Sam's Club Optical
Doing business as Sam's Club Optical 30-6632
- Eyewear Supplier
- Denver, CO
National Provider Identifier
1447336631
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 30-6632
- Practice address
- 505 S Broadway
Denver, CO 80209-4093 - Phone
- (303) 722-2152
- NPI assigned
- Oct 31, 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
505 S Broadway
Denver, CO 80209-4093
Mailing address
702 SW 8TH Street
Bentonville, AR 72716-0235
Other names 1
- Sam's Club Optical 30-6632
National Provider Directory
National Provider Directory- Tax ID family
- Ability Network
Organizations with this tax ID in the same state 24
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 30-6219
- Eyewear Supplier
- Colorado Springs, CO
- NPI 1386732873
-
dba Sam's Club Optical 30-6360
- Eyewear Supplier
- Grand Junction, CO
- NPI 1528152675
Locations
505 S Broadway
Denver, CO 80209
Phone (303) 722-4324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1447336631",
"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": "505 S BROADWAY",
"city": "DENVER",
"state": "CO",
"postal_code": "802094093",
"telephone_number": "303-722-2152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAM'S CLUB OPTICAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-31",
"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 30-6632",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Denver, CO
- Paul A Salyers
- Henry F Salzmann, NP
- Sam Clinic
- Thomandra Shavaun Sam, PH.D.
- Sam's Club Optical (Sam's Club Optical 30-4777)
- Sam's Club Optical (Sam's Club Optical 30-6635)
- Ariel Samach, NP
- Akanksha Samal, DO
- Maria Guadalupe Samaniego, PH.D. CLINICAL PSYCH
- Samantha Alvis, LLC. (Congruence Counseling)
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.