Sams Club Optical · Eyewear Supplier

6570 Grand Ave, Gurnee, IL 60031-1621

Overview

Sams Club Optical is a Eyewear Supplier (organization) practicing in Gurnee, Illinois. The National Provider Identifier (NPI) is #1124129887, which was assigned on September 26, 2006, and the registration record was last updated on September 11, 2025. The practitioner's main practice location is at 6570 Grand Ave, Gurnee, IL 60031-1621; the contact telephone number is 8478551130. The primary taxonomy of Sams Club Optical is Eyewear Supplier (332H00000X). The authorized official for Sams Club Optical is Linda M. Epperson (Npi Coordinator).

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Provider Information

NPI 1124129887
Entity Type Organization
Organization Name SAMS CLUB OPTICAL
Provider Name SAMS CLUB OPTICAL
Practice Address 6570 Grand Ave
Gurnee
IL 60031-1621
Practice Telephone 8478551130
Mailing Address 702 Sw 8th St
Bentonville
AR 72716-6209
Enumeration Date 2006-09-26
Last Update Date 2025-09-11
Is Organization Subpart N

Authorized Official Information

Official Name LINDA M. EPPERSON
Official Title NPI COORDINATOR
Telephone 3167885580

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N156FX1800XTechnician/TechnologistOptician193400000X MULTIPLE SINGLE SPECIALTY GROUP
Y332H00000XEyewear Supplier

Other Provider Names

Other Organization NameType
Sam's Club Optical 30-8184Doing Business As Name

Taxonomy Information

Primary Taxonomy

Code 332H00000X
Taxonomy Eyewear Supplier
Classification Eyewear Supplier
Grouping Suppliers
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Other Taxonomy

Code 156FX1800X
Taxonomy Optician
Classification Technician/Technologist
Specialization Optician
Grouping Eye and Vision Services Providers
Definition: Definition to come...

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Cohen Fashion Optical, LLC 32 W 125th St, New York, NY 10027-5385Eyewear Supplier2026-06-06
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Warby Parker Inc. 7900 Old Wake Forest Rd, Raleigh, NC 27616-3319Eyewear Supplier2026-06-04
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Sunevision LLC 3644 Blue Fin Way Unit 106, Fort Myers, FL 33916-8453Eyewear Supplier2026-06-05
Metro Optical Group Inc 1429 Ave Fernandez Juncos, San Juan, PR 00909-2658Eyewear Supplier2026-06-01
Visioinworks, Inc 6060 Azle Ave Ste 500, Lake Worth, TX 76135-2612Eyewear Supplier2026-05-26
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Location Information

Street Address 6570 GRAND AVE
City GURNEE
State IL
Zip Code 60031-1621
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Anna Majerczak 6570 Grand Ave, Gurnee, IL 60031-1621Pharmacist2020-10-27
Daniel Nast Jr. 6570 Grand Ave, Co Sams Club, Gurnee, IL 60031Optometrist2007-01-04
Sam's West, Inc. 6570 Grand Ave, Gurnee, IL 60031-1621Durable Medical Equipment & Medical Supplies2006-07-16
Nuha Awad 6570 Grand Ave, Gurnee, IL 60031-1621Pharmacist2022-08-25

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Yana Nodelman 6590 Grand Ave, Gurnee, IL 60031-1621Pharmacist2020-11-03
Christopher George Stelle 6590 Grand Ave, Gurnee, IL 60031-1621Optometrist2006-08-02
Jue Wang 6590 Grand Ave, Gurnee, IL 60031-1621Pharmacist2020-10-23
Walmart Inc. 6590 Grand Ave, Gurnee, IL 60031-1621Durable Medical Equipment & Medical Supplies2006-07-16

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Jacob Ian Pollina 6615 Grand Ave Unit # 6159, Gurnee, IL 60031Family Nurse Practitioner2026-03-06
Maggie's Health Care Providers, Inc 213 Suda Dr Gurnee Il 60031, Gurnee, IL 60031Meals Provider2021-01-20
Ryan Lee Winslow 6021 Washington St, Unit B, Gurnee, IL 60031Chiropractor2016-08-02
K. Shaver 500 N Oplaine Rd, Gurnee, IL 60031Speech-Language Pathologist2018-01-18
Emily Anne Eichmeier · Emily Anne Hasselquist 4212 Old Grand Ave. Gurnee Counseling, Suite 102, Gurnee, IL 60031Clinical Social Worker2012-01-16
Smart Scan Mri, LLC 350 S. Greenleaf, Suite 401, Gurnee, IL 60031Magnetic Resonance Imaging (MRI) Clinic/Center2013-08-29
Komathy Giritharan Paramanathan 750 W Grand Ave, Gurnee, IL 60031Pharmacist2011-09-14
Michael Angel Hernandezvazquez 223 Il-21, Gurnee, IL 60031Massage Therapist2025-04-23
Yudelca Romano 1125 Tri State Parkway, Gurnee, IL 60031Genetic Counselor (M.S.)2012-05-03
Amna Khan 15 Tower Ct Ste 100, Gurnee, IL 60031Pediatrics Physician2012-10-18
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Provider NameAddressTaxonomyEnumeration Date
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.