SAMS CLUB OPTICAL 30-4806
NPI 1275835357
Eyewear Supplier in Carolina East, PR

Active since November 23, 2010
CARR # 3 KM15.2, CAROLINA EAST, PR 00979(787) 757-4640 Get Directions Write a Review

NPPES record last updated: November 23, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Eyewear Supplier

About SAMS CLUB OPTICAL 30-4806

This page provides the complete NPI Profile along with additional information for Sams Club Optical 30-4806, a provider established in Carolina East, Puerto Rico operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1275835357 assigned on November 2010. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Sams Club Optical 30-4806. The authorized official of this NPI record is Dianna Painter (Enrollment Specialist)

NPI
1275835357 Verify this NPI
Provider Legal Name
WAL-MART PUERTO RICO INC
Other Organization Name
SAMS CLUB OPTICAL 30-4806
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
CARR # 3 KM15.2 CAROLINA EAST, PR 00979
Location Phone
(787) 757-4640
Mailing Address
702 SW 8TH ST. BENTONVILLE, AR 72716
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-23-2010
Last Update Date
11-23-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Eyewear Supplier

Taxonomy Code
332H00000X
Type
Suppliers
Taxonomy Description
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1156FX1800XEye and Vision Services Providers

Technician/Technologist
Optician

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DIANNA PAINTER

Authorized Official Title
ENROLLMENT SPECIALIST
Authorized Official Phone
(479) 277-1238

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275835357, enumerated as an "organization" on November 23, 2010.

The provider is located at CARR # 3 KM15.2 CAROLINA EAST, PR 00979 and the phone number is (787) 757-4640.

Eyewear Supplier with taxonomy code 332H00000X.