NPI 1124123914

Sam's Club Optical

Organisation Eyewear Supplier Myrtle Beach, SC

Practice location

Address: 1946 10th Avenue North, Myrtle Beach, SC 29577-5624
Phone: (843) 946-9521
Fax: (843) 916-1481
Mailing address: 1 Customer Dr Ms 0445, Bentonville, AR 72716-0445

Authorised official

Name: Kimberly Canonic
Title: Sr. Director
Phone: (479) 371-1168

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in South Carolina →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in South Carolina →

Registry record

NPI: 1124123914
Entity type: Organization
NPI issued: 14 Sep 2006
Record last updated: 14 Oct 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.