SAM'S CLUB OPTICAL 30-4955
NPI 1689810533
Technician/Technologist - Optician in Surprise, AZ
NPI Status: Active since December 24, 2008
Contact Information
16573 W BELL RD
SURPRISE, AZ
ZIP 85374
Phone: (623) 584-0852
- Organization
- Technician/Technologist
- Optician
- Accepts Insurance
- CLIA Number: 03D2126734
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 03-02-2027
About SAM'S CLUB OPTICAL 30-4955
This page provides the complete NPI Profile along with additional information for Sam's Club Optical 30-4955, a provider established in Surprise, Arizona operating as a Technician/technologist, focusing in optician . The healthcare provider is registered in the NPI registry with number 1689810533 assigned on December 2008. The practitioner's primary taxonomy code is 156FX1800X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Sam's Club Optical 30-4955. The authorized official of this NPI record is Holly C Wilkinson (Optical Insurance Plan Review)
- NPI
- 1689810533
- Provider Legal Name
- SAM'S CLUB OPTICAL
- Other Organization Name
- SAM'S CLUB OPTICAL 30-4955
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 16573 W BELL RD SURPRISE, AZ 85374
- Location Phone
- (623) 584-0852
- Mailing Address
- 702 SW 8TH STREET BENTONVILLE, AR 72716
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-24-2008
- Last Update Date
- 12-24-2008
- Code Navigator
Location Map
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
Technician/Technologist Optician
- Taxonomy Code
- 156FX1800X
- Type
- Eye and Vision Services Providers
- Taxonomy Description
- Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
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) |
|---|---|---|---|---|
| 1 | 332H00000X | Suppliers | Eyewear Supplier |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
- Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
- Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
- Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3400 - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2126734
- Facility Type
- Pharmacy
- Certificate Effective Date
- March 03, 2025
- Certificate Expiration Date
- March 02, 2027
- Laboratory Director
- ALFONSO A. GUAGENTI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sam's Club Optical 30-4955 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1689810533, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689810533, enumerated as an "organization" on December 24, 2008.
The provider is located at 16573 W BELL RD SURPRISE, AZ 85374 and the phone number is (623) 584-0852.
Technician/Technologist with taxonomy code 156FX1800X and a focus in Optician.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana. Please consult your insurance carrier or call the provider to verify.
