Sam's Club Optical 30-6327 – Eyewear Supplier, NPI 1205930633

Sam's Club Optical 30-6327 is a healthcare provider. based in Bentonville, Arkansas. specializing in Eyewear Supplier. The NPI Number for Sam's Club Optical 30-6327 is 1205930633

Main info

Organization
Name
Sam's Club Optical 30-6327
NPI
1205930633
Phone
Not provided
Address
702 SW 8TH STREET
Authorized Official
LINDA M. EPPERSON NPI COORDINATOR
Enumeration Date
7 September 2006
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness90
Years active:19State licenses:0Digital endpoints

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Provider Addresses for Sam's Club Optical 30-6327

  • Walmart Home Office Main Entrance, 702, Southwest 8th Street, Bentonville, Benton County, Arkansas, 72712, United States

    BENTONVILLE, AR 727160235

    Phone:

    Type: Mailing

  • Sam's Club, 1040, Niles Cortland Road Southeast, Howland Center, Warren, Trumbull County, Ohio, 44484, United States

    WARREN, OH 444842539

    Phone: (330) 856-7411

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72716)

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Reviews

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Frequently asked questions

What unique ID ties claims to Sam's Club Optical 30-6327?
NPI 1205930633 is assigned to Sam's Club Optical 30-6327 under the national enumeration system.
Is Sam's Club Optical 30-6327's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does Sam's Club Optical 30-6327 work in?
You can think of Sam's Club Optical 30-6327 as practicing within Eyewear Supplier. Clinical services aligned with this taxonomy classification.
Where does public data place Sam's Club Optical 30-6327?
The snapshot lists Bentonville, Arkansas for Sam's Club Optical 30-6327; download NPPES for the complete set.
Is Sam's Club Optical 30-6327 a real provider?
This page reflects official NPPES data for NPI 1205930633. Always confirm identity and privileges with the practice and licensing boards.

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