NPI 1033210679

Sam's Club Optical

Organisation Eyewear Supplier Mishawaka, IN

Practice location

Address: 120 Indian Ridge Blvd, Mishawaka, IN 46545-9033
Phone: (574) 243-8048
Mailing address: 702 SW 8th Street, Bentonville, AR 72716-0235

Authorised official

Name: Linda M. Epperson
Title: Npi Coordinator
Phone: (316) 788-5580

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Indiana →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Indiana →

Registry record

NPI: 1033210679
Entity type: Organization
NPI issued: 26 Sep 2006
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.