NPI 1033299417

Sam's Club Optical

Organisation Eyewear Supplier Madison, MS

Practice location

Address: 257 Grandview Blvd, Madison, MS 39110-5514
Phone: (601) 977-0465
Fax: (601) 898-1962
Mailing address: 1 Customer Dr Ms 0445, Bentonville, AR 72716-0235

Authorised official

Name: Kimberly Canonic
Title: Sr Director
Phone: (480) 853-0515

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Mississippi →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Mississippi →

Registry record

NPI: 1033299417
Entity type: Organization
NPI issued: 17 Oct 2006
Record last updated: 19 May 2026

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.