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SAM'S CLUB OPTICAL
NPI 1356433809
Eyewear Supplier in Port Huron, MI

Active since September 29, 2006CLIA 23D2099783 · Waiver
1237 32ND ST, PORT HURON, MI 48060(810) 984-5355 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 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 1356433809), doing business as Sam's Club Optical 30-6660, is a healthcare organization registered as an eyewear supplier in Port Huron, Michigan and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 2, 2027 and lists Linda M. Epperson, Npi Coordinator, as its authorized official.

NPPES Registry Identity

NPI1356433809
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSAM'S CLUB OPTICAL
Location Address1237 32ND STPort Huron, MI 48060-7323
Mailing Address702 Sw 8th StreetBentonville, AR 72716-0235
Phone(810) 984-5355
Organization SubpartNo
Authorized OfficialLinda M. EppersonNpi Coordinator · (316) 788-5580
Enumeration DateSeptember 29, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1356433809 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
1237 32ND ST, Port Huron, MI 48060
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Other Names 1

Doing Business AsSam's Club Optical 30-6660

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2099783

Sam's Club 6660 · Port Huron, MI
Active · expires Aug 2, 2027
CLIA Number23D2099783
Laboratory TypePharmacy
Certificate Effective DateAugust 3, 2025
Certificate Expiration DateAugust 2, 2027
Laboratory DirectorCharlotte A. Jaworski
Laboratory Phone(810) 982-5791
Laboratory LocationSam's Club 66601237 32nd Street, Port Huron, MI 48060
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

REBECCA K ALLEN PHARMACIST
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1237 32ND ST
PORT HURON, MI 48060
St. Clair County (810) 982-5791
SAMS EAST INC
Pharmacy (Community/Retail Pharmacy)
1237 32ND ST
PORT HURON, MI 48060
St. Clair County (810) 982-5791
DAVID R RAMALES
Pharmacist
1237 32ND ST
PORT HURON, MI 48060
St. Clair County (810) 982-5791
ANDREA K PLEWA
Optometrist
1237 32ND ST
PORT HURON, MI 48060
St. Clair County (810) 982-6165
MISS MADELYN S CHILNER OPTICIAN
Technician/Technologist (Optician)
1237 32ND ST
PORT HURON, MI 48060
St. Clair County (810) 982-6165

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 1356433809. It was assigned to this organization in the NPPES registry on September 29, 2006. The provider is doing business as Sam's Club Optical 30-6660.

Where is Sam's Club Optical located?

Sam's Club Optical is located at 1237 32nd St, Port Huron, MI 48060. The listed phone number is (810) 984-5355.

What is Sam's Club Optical's specialty?

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

Does Sam's Club Optical hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2099783) is associated with this NPI, valid through August 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 11 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.