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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 1295040665
Eyewear Supplier in Nicholasville, KY

Active since August 10, 2010
103 BRYANT DRIVE, NICHOLASVILLE, KY 40356(859) 881-0695(859) 881-0698 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sam's Club Optical NPPES

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

SAM'S CLUB OPTICAL (NPI 1295040665), doing business as Sam's Club Optical 30-4728, is a healthcare organization registered as an eyewear supplier in Nicholasville, Kentucky and active in the NPI registry since August 2010. The organization lists Kimberly Canonic, Sr Director, as its authorized official.

NPPES Registry Identity

NPI1295040665
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSAM'S CLUB OPTICAL
Location Address103 BRYANT DRIVENicholasville, KY 40356-9225
Mailing Address1 Customer Dr, Ms 0445Bentonville, AR 72716-0445
Phone(859) 881-0695
Fax(859) 881-0698
Organization SubpartYesParent: Wal-mart Stores Inc
Authorized OfficialKimberly CanonicSr Director · (480) 853-0515
Enumeration DateAugust 10, 2010
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1295040665 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
103 BRYANT DRIVE, Nicholasville, KY 40356
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Other Names 2

Doing Business AsSam's Club Optical 30-4728
Doing Business AsSam's Optical Center 30-4728

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 ›

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 1295040665. It was assigned to this organization in the NPPES registry on August 10, 2010. The provider is doing business as Sam's Club Optical 30-4728 and Sam's Optical Center 30-4728.

Where is Sam's Club Optical located?

Sam's Club Optical is located at 103 Bryant Drive, Nicholasville, KY 40356. The listed phone number is (859) 881-0695.

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 June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 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.