Sam's Club Optical is a Eyewear Supplier (organization) practicing in Fort Collins, Colorado. The National Provider Identifier (NPI) is #1356427546, which was assigned on October 31, 2006, and the registration record was last updated on September 11, 2025. The practitioner's main practice location is at 4700 Boardwalk Dr, Fort Collins, CO 80525-3729; the contact telephone number is 9702290797. The primary taxonomy of Sam's Club Optical is Eyewear Supplier (332H00000X). The authorized official for Sam's 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.
| NPI | 1356427546 |
| Entity Type | Organization |
| Organization Name | SAM'S CLUB OPTICAL |
| Provider Name | SAM'S CLUB OPTICAL |
| Practice Address |
4700 Boardwalk Dr Fort Collins CO 80525-3729 |
| Practice Telephone | 9702290797 |
| Mailing Address |
702 Sw 8th Street Bentonville AR 72716-0235 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2025-09-11 |
| Is Organization Subpart | N |
| Official Name | LINDA M. EPPERSON |
| Official Title | NPI COORDINATOR |
| Telephone | 3167885580 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 156FX1800X | Technician/Technologist | Optician | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | ||
| Y | 332H00000X | Eyewear Supplier |
| Other Organization Name | Type |
|---|---|
| Sam's Club Optical 30-6633 | Doing Business As Name |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Sam's Club Optical | 755 N. Hwy 27/441, Lady Lake (The Villages), FL 32159 | Optician | 2008-12-24 |
| Sam's Club Optical | 745 W El Camino Alto Drive, Springfield (S), MO 65810 | Eyewear Supplier | 2009-07-01 |
| 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. |
| Code | 156FX1800X |
| Taxonomy | Optician |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Grouping | Eye and Vision Services Providers |
| Definition: Definition to come... |
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| Eyemart Express LLC | 3061 Ocean Beach Hwy, Longview, WA 98632-4341 | Eyewear Supplier | 2026-06-02 |
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| Street Address |
4700 BOARDWALK DR |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525-3729 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jacqueline Renee Trautwein | 4700 Boardwalk Dr, Fort Collins, CO 80525-3729 | Pharmacist | 2019-04-19 |
| Sams West Inc | 4700 Boardwalk Dr, Fort Collins, CO 80525-3729 | Durable Medical Equipment & Medical Supplies | 2006-07-16 |
| Eric Rewerts | 4700 Boardwalk Dr, Fort Collins, CO 80525-3729 | Pharmacist | 2019-04-15 |
| Clinton D Kliewer | 4700 Boardwalk Dr, Fort Collins, CO 80525-3729 | Optometrist | 2007-07-13 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Andrea Julia Joyce | 375 E Horsetooth Rd., Building 6 Suite 201, Fort Collins, CO 80525 | Professional Counselor | 2025-10-29 |
| Heather Rose Parks | 1730 S. College Ave, #100, Fort Collins, CO 80525 | Chiropractor | 2021-03-03 |
| Emily Paige Clarkson | 4745 E Boardwalk Dr., Building C Suite 2, Fort Collins, CO 80525 | Dental Hygienist | 2021-06-09 |
| Balqis Khairunnisa Nugroho | 1613 E Prospect Rd. Ste110, Fort Collins, CO 80525 | Behavior Technician | 2026-03-13 |
| Madison Belus | 4786 Mcmurry Ave, Unit 2b, Fort Collins, CO 80525 | Professional Counselor | 2025-03-06 |
| Abby Sickels | 1613 Prospect Park Wat Ste 110, Fort Collins, CO 80525 | Behavior Technician | 2024-05-20 |
| Panorama Eye Care | 1725 East Prospect Road, Fort Collins, CO 80525 | Ophthalmology Physician | 2021-11-29 |
| Eric Mckay Brown | 7200 E Highway 14, Lot 26, Fort Collins, CO 80525 | Behavior Technician | 2025-11-25 |
| Inadvance Medicine Associates Pa | 3711 John F. Kennedy Parkway, Suite 330, Fort Collins, CO 80525 | Community Health Worker | 2025-04-21 |
| Derek Ryan Filkins | 736 Whalers Way, Bldg G, Suite 110, Fort Collins, CO 80525 | Mental Health Counselor | 2021-06-02 |
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| Bj's Wholesale Club Inc. | 820-825 Pelham Pkwy, Pelham Manor, NY 10803 | Eyewear Supplier | 2020-10-13 |
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| The Fox Club LLC | 106 E Paces Dr, Athens, GA 30605-5217 | Adult Day Care Clinic/Center | 2026-03-19 |
| Language Explorers Club LLC | 8445 Sierra College Blvd Ste A, Roseville, CA 95661-9425 | Speech-Language Pathologist | 2026-03-11 |
| Kids Club Therapies LLC | 5300 Nw 85th Ave Apt 407, Doral, FL 33166-5346 | Clinic/Center | 2026-04-28 |
| Usv Optical Inc. · Us Vision Optical Inc. | Two Chevy Drive, E. Syracuse, NY 13057 | Eyewear Supplier | 2007-01-22 |
| Bj's Wholesale Club Inc. | 300 Route 17 (Northbound), E. Rutherford, NJ 07073 | Eyewear Supplier | 2020-09-21 |
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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 |
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. |