.Sam'S Club Optical
Organization Active NPI Eyewear Supplier · Valdosta, GA
NPI 1669572467 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1669572467
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- .SAM'S CLUB OPTICAL
- Practice address
- 450 Norman Dr
Valdosta, GA 31601-7708 - Phone
- (229) 244-3939
- NPI assigned
- Sep 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Linda M. Epperson
- Title
- Npi Coordinator
- Phone
- (316) 788-5580
Corporate family (same tax ID) 22
National Provider Directory
- Tax ID family
- Sam'S Hearing Aid Center 6332
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician |
156FX1800X | |||
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
450 Norman Dr
Valdosta, GA 31601-7708
Mailing address
702 SW 8TH Street
Bentonville, AR 72716-0235
Other names
- Sam's Club Optical 30-6204
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.