Active NPI
Sam's Club Optical
Doing business as Vision Center 30-4238
- Eyewear Supplier
- Sanger, CA
National Provider Identifier
1962626333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- SAM'S CLUB OPTICAL
- Doing business as
- Vision Center 30-4238
- Practice address
- 2761 Jensen Ave
Sanger, CA 93657-9797 - Phone
- (559) 875-4268
- NPI assigned
- Apr 13, 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
- Miss Sabrina Nicole Sutton
- Title
- Npi Associate
- Phone
- (479) 277-1175
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | |||
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
2761 Jensen Ave
Sanger, CA 93657-9797
Mailing address
702 SW 8TH Street
Bentonville, AR 72716-0235
Phone (479) 277-1175
Other names 1
- Vision Center 30-4238
National Provider Directory
National Provider Directory- Tax ID family
- Ability Network
Organizations with this tax ID in the same state 13
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 30-4799
- Eyewear Supplier
- Citrus Heights, CA
- NPI 1932293149
Locations
2761 Jensen Ave
Sanger, CA 93657
Phone (559) 875-1813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1962626333",
"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",
"telephone_number": "479-277-1175",
"fax_number": "479-277-8174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2761 JENSEN AVE",
"city": "SANGER",
"state": "CA",
"postal_code": "936579797",
"telephone_number": "559-875-4268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAM'S CLUB OPTICAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-13",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "SUTTON",
"authorized_official_first_name": "SABRINA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "NPI ASSOCIATE",
"authorized_official_telephone_number": "479-277-1175",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vision Center 30-4238",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Sanger, CA
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.