Sam's Club Optical – Eyewear Supplier, NPI 1043317431

Sam's Club Optical is a healthcare provider. based in Salt lake city, Utah. specializing in Eyewear Supplier. The NPI Number for Sam's Club Optical is 1043317431

Main info

Organization
Name
Sam's Club Optical
NPI
1043317431
Phone
(801) 974-0204
Address
3280 S 900 W
Authorized Official
NICOLE D GENTILE NPI COORDINATOR
Enumeration Date
20 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

  • 3280 South, West Valley City, Salt Lake County, Utah, 84120, United States

    SALT LAKE CITY, UT 841193318

    Phone: (801) 974-0204

    Type: Location

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

    BENTONVILLE, AR 727160235

    Phone:

    Type: Mailing

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 84119)

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Reviews

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Frequently asked questions

What identifier follows Sam's Club Optical across health systems?
The NPI 1043317431 uniquely identifies Sam's Club Optical in U.S. healthcare data.
Should I treat Sam's Club Optical as an active provider?
Patients and plans typically see Sam's Club Optical as active in the national extract.
What type of care does Sam's Club Optical provide?
Sam's Club Optical's profile centers on Eyewear Supplier. Clinical services aligned with this taxonomy classification.
Which community is linked to Sam's Club Optical?
Sam's Club Optical shows a connection to Salt Lake City, Utah in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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