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SAM'S CLUB OPTICAL
NPI 1124120530
Eyewear Supplier in Vestal, NY

Active since September 05, 2006
2441 VESTAL PKWY E, VESTAL, NY 13850(607) 770-6200 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 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 1124120530), doing business as Sam's Club Optical 30-6366, is a healthcare organization registered as an eyewear supplier in Vestal, New York and active in the NPI registry since September 2006. The organization lists Tammy J Boyd, Contract Coordinator, as its authorized official.

NPPES Registry Identity

NPI1124120530
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSAM'S CLUB OPTICAL
Location Address2441 VESTAL PKWY EVestal, NY 13850-2018
Mailing Address702 Sw 8th StBentonville, AR 72716-0235
Phone(607) 770-6200
Organization SubpartNo
Authorized OfficialTammy J BoydContract Coordinator · (479) 277-1359
Enumeration DateSeptember 5, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1124120530 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
2441 VESTAL PKWY E, Vestal, NY 13850
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Other Names 1

Doing Business AsSam's Club Optical 30-6366

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 6

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

SAMS EAST INC
Pharmacy (Community/Retail Pharmacy)
2441 VESTAL PKWY E
VESTAL, NY 13850
Broome County (607) 797-1370
UTE HUBER
Technician/Technologist (Optician)
2441 VESTAL PKWY E
VESTAL, NY 13850
Broome County (607) 770-6297
BREM NICOLE RAMIL RPH
Pharmacist
2441 VESTAL PKWY E
VESTAL, NY 13850
Broome County (607) 797-1370
MRS. DIANE LYNN FARGO
Technician/Technologist (Optician)
2441 VESTAL PKWY E
VESTAL, NY 13850
Broome County (607) 770-6297
GREGORY LOPEZ OJEDA RPH
Pharmacist
2441 VESTAL PKWY E, SAMS CLUB PHARMACY
VESTAL, NY 13850
Broome County (607) 797-1370
SOPHIE LYNN PORTNOY RPH
Pharmacist
2441 VESTAL PKWY E
VESTAL, NY 13850
Broome County (607) 797-1370

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 1124120530. It was assigned to this organization in the NPPES registry on September 5, 2006. The provider is doing business as Sam's Club Optical 30-6366.

Where is Sam's Club Optical located?

Sam's Club Optical is located at 2441 Vestal Pkwy E, Vestal, NY 13850. The listed phone number is (607) 770-6200.

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 September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.