Sam's Club Optical 30-4786 – Eyewear Supplier, NPI 1205911146

Sam's Club Optical 30-4786 is a healthcare provider. based in Logan, Utah. specializing in Eyewear Supplier. The NPI Number for Sam's Club Optical 30-4786 is 1205911146

Main info

Organization
Name
Sam's Club Optical 30-4786
NPI
1205911146
Phone
(435) 787-0063
Address
145 W CACHE VALLEY BLVD
Authorized Official
LINDA M. EPPERSON NPI COORDINATOR
Enumeration Date
26 October 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 30-4786

  • Cache Valley Boulevard, Logan, Cache County, Utah, 84321, United States

    LOGAN, UT 843418473

    Phone: (435) 787-0063

    Type: Location

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

    BENTONVILLE, AR 727166209

    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 84341)

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Reviews

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Frequently asked questions

What is the registry number for Sam's Club Optical 30-4786?
The registry entry for Sam's Club Optical 30-4786 shows NPI 1205911146.
Is Sam's Club Optical 30-4786's NPI status active today?
Active status means Sam's Club Optical 30-4786's NPI record is not deactivated in the public file.
How should patients interpret Sam's Club Optical 30-4786's specialty?
The extract shows Eyewear Supplier for Sam's Club Optical 30-4786. Clinical services aligned with this taxonomy classification.
Which community is linked to Sam's Club Optical 30-4786?
Sam's Club Optical 30-4786 shows a connection to Logan, Utah in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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