Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAM'S CLUB OPTICAL
NPI 1245311919
Eyewear Supplier in Springfield, IL

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

The NPI number for Sam's Club Optical is 1245311919. It was assigned to this organization in the NPPES registry on October 18, 2006. The provider is doing business as Sam's Club Optical 30-8215.

Q: What is Sam's Club Optical's specialty?

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

Active since October 18, 2006

2300 W WHITE OAKS DR, SPRINGFIELD, IL 62704(217) 698-7662(217) 698-7662 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 27, 2026, Sep 11, 2025, Aug 22, 2020 (3 updates tracked since 2020).

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About Sam's Club Optical NPPES

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

SAM'S CLUB OPTICAL (NPI 1245311919), doing business as Sam's Club Optical 30-8215, is a healthcare organization registered as an eyewear supplier in Springfield, Illinois and active in the NPI registry since October 2006. The organization lists Kimberly Canonic, Senior Director, as its authorized official.

NPPES Registry Identity

NPI1245311919

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameSAM'S CLUB OPTICAL

Location Address2300 W WHITE OAKS DRSpringfield, IL 62704-6423

Mailing Address1 Customer Drive, Ms 0445Bentonville, AR 72716-0445

Phone(217) 698-7662

Fax(217) 698-7662

Organization SubpartNo

Authorized OfficialKimberly CanonicSenior Director · (480) 853-0515

Enumeration DateOctober 18, 2006

Last NPPES UpdateAugust 27, 20263 updates tracked since enumeration

NPPES CertifiedAugust 27, 2026

✔ NPI 1245311919 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

2300 W WHITE OAKS DR, Springfield, IL 62704

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Other Names 1

Doing Business AsSam's Club Optical 30-8215

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 9

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

SAMS WEST INC

Pharmacy (Community/Retail Pharmacy)

2300 W WHITE OAKS DR
SPRINGFIELD, IL 62704

Sangamon County (217) 698-5938

JAMES PATRICK WALSH O.D.

Optometrist

2300 W WHITE OAKS DR, SAM'S CLUB OPTICAL
SPRINGFIELD, IL 62704

Sangamon County (217) 698-7662

DEREK ROPER

Hearing Instrument Specialist

2300 W WHITE OAKS DR
SPRINGFIELD, IL 62704

Sangamon County (217) 698-8153

DR. OLAJIDE JOHN ANIMASAUN PHARM.D

Pharmacist

2300 W WHITE OAKS DR
SPRINGFIELD, IL 62704

Sangamon County (217) 698-5938

JAMES P. WALSH O.D., LLC

Optometrist

2300 W WHITE OAKS DR, SAM'S CLUB OPTICAL
SPRINGFIELD, IL 62704

Sangamon County (217) 698-7662

SALLY ANNE VAN RHEEDEN RPH

Pharmacist

2300 W WHITE OAKS DR
SPRINGFIELD, IL 62704

Sangamon County (217) 698-5938

JUSTIN VADUKUMCHERRY PHARMD

Pharmacist

2300 W WHITE OAKS DR
SPRINGFIELD, IL 62704

Sangamon County (217) 698-5938

TYLER WILSMAN

Hearing Instrument Specialist

2300 W WHITE OAKS DR
SPRINGFIELD, IL 62704

Sangamon County (217) 698-8153

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 1245311919. It was assigned to this organization in the NPPES registry on October 18, 2006. The provider is doing business as Sam's Club Optical 30-8215.

Where is Sam's Club Optical located?

Sam's Club Optical is located at 2300 W White Oaks Dr, Springfield, IL 62704. The listed phone number is (217) 698-7662.

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 August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.