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SAMS CLUB OPTICAL CENTER 30-4872
NPI 1104274307
Eyewear Supplier in Columbia, SC

Active since May 27, 2016
733 FASHION DRIVE, COLUMBIA, SC 29229(803) 223-0778 Get Directions Write a Review

NPPES record last updated: May 27, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sams Club Optical Center 30-4872 NPPES

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

SAMS CLUB OPTICAL CENTER 30-4872 (NPI 1104274307) is a healthcare organization registered as an eyewear supplier in Columbia, South Carolina and active in the NPI registry since May 2016. The organization lists Laura Levine, Dir Healthcare Contract & Enroll, as its authorized official.

NPPES Registry Identity

NPI1104274307
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWAL-MART STORES EAST, LP
Location Address733 FASHION DRIVEColumbia, SC 29229-0000
Mailing Address702 Sw 8th St, Mailstop 0445Bentonville, AR 72716-0445 · (479) 204-8550 · Fax (479) 277-4331
Phone(803) 223-0778
Organization SubpartYesParent: Wal-mart Stores, Inc.
Authorized OfficialLaura LevineDir Healthcare Contract & Enroll · (479) 204-8550
Enumeration DateMay 27, 2016
✔ NPI 1104274307 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
733 FASHION DRIVE, Columbia, SC 29229
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Other Names 1

Doing Business AsSams Club Optical Center 30-4872

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 Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of Louisiana.Insurance ›

Other Providers at the Same Location NPPES

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

JACOB SHELL PHARMD
Pharmacist
733 FASHION DRIVE
COLUMBIA, SC 29229
Richland County (803) 223-0091

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 Wal-Mart Stores East, LP's NPI number?

The NPI number for Wal-Mart Stores East, LP is 1104274307. It was assigned to this organization in the NPPES registry on May 27, 2016. The provider is doing business as Sams Club Optical Center 30-4872.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 733 Fashion Drive, Columbia, SC 29229. The listed phone number is (803) 223-0778.

What is Wal-Mart Stores East, LP's specialty?

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

What insurance does Wal-Mart Stores East, LP accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Blue Cross and Blue Shield of Louisiana list Wal-Mart Stores East, LP 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 Wal-Mart Stores East, LP was last updated on May 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.