1. Home
  2. Directory
  3. Mississippi
  4. Madison
  5. Eyewear Supplier
  6. NPI Profile

SAM'S CLUB OPTICAL
NPI 1033299417
Eyewear Supplier in Madison, MS

Active since October 17, 2006
257 GRANDVIEW BLVD, MADISON, MS 39110(601) 977-0465(601) 898-1962 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 19, 2026, Sep 11, 2025, Aug 22, 2020 (3 updates tracked since 2020).

About Sam's Club Optical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAM'S CLUB OPTICAL (NPI 1033299417), doing business as Sam's Club Optical 30-8271, is a healthcare organization registered as an eyewear supplier in Madison, Mississippi and active in the NPI registry since October 2006. The organization lists Kimberly Canonic, Sr Director, as its authorized official.

NPPES Registry Identity

NPI1033299417
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSAM'S CLUB OPTICAL
Location Address257 GRANDVIEW BLVDMadison, MS 39110-5514
Mailing Address1 Customer Dr, Ms 0445Bentonville, AR 72716-0235
Phone(601) 977-0465
Fax(601) 898-1962
Organization SubpartNo
Authorized OfficialKimberly CanonicSr Director · (480) 853-0515
Enumeration DateOctober 17, 2006
Last NPPES UpdateMay 19, 20263 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1033299417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X
257 GRANDVIEW BLVD, Madison, MS 39110
Open in Google Maps ↗

Other Names 1

Doing Business AsSam's Club Optical 30-8271

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BILLY WAYNE KING RPH
Pharmacist
257 GRANDVIEW BLVD
MADISON, MS 39110
Madison County (601) 977-0948
SAMS EAST INC
Pharmacy (Community/Retail Pharmacy)
257 GRANDVIEW BLVD
MADISON, MS 39110
Madison County (601) 977-0948
JENNIFER PIERCE
Pharmacist
257 GRANDVIEW BLVD
MADISON, MS 39110
Madison County (601) 977-0948

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sam's Club Optical's NPI number?

The NPI number for Sam's Club Optical is 1033299417. It was assigned to this organization in the NPPES registry on October 17, 2006. The provider is doing business as Sam's Club Optical 30-8271.

Where is Sam's Club Optical located?

Sam's Club Optical is located at 257 Grandview Blvd, Madison, MS 39110. The listed phone number is (601) 977-0465.

What is Sam's Club Optical's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

What insurance does Sam's Club Optical accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Sam's Club Optical as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sam's Club Optical was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.