SAMS CLUB OPTICA #6515
NPI 1760713804
Eyewear Supplier in Punta Santiago, PR

Active since January 28, 2010
PLAZA HUMACAO, CARR #3 KM 82.0, PUNTA SANTIAGO, PR 00741(787) 285-8815 Get Directions Write a Review

NPPES record last updated: January 28, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Eyewear Supplier

About SAMS CLUB OPTICA #6515

This page provides the complete NPI Profile along with additional information for Sams Club Optica #6515, a provider established in Punta Santiago, Puerto Rico operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1760713804 assigned on January 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 provider's is doing business as Sams Club Optica #6515. The authorized official of this NPI record is Mr. Rene Pabon (Retail Estrategic Business Director)

NPI
1760713804 Verify this NPI
Provider Legal Name
SAMS CLUB #6515
Other Organization Name
SAMS CLUB OPTICA #6515
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
PLAZA HUMACAO CARR #3 KM 82.0 PUNTA SANTIAGO, PR 00741
Location Phone
(787) 285-8815
Mailing Address
PLAZA HUMACAO CARR #3 KM 82.0 PUNTA SANTIAGO, PR 00741
Mailing Phone
(787) 285-8815
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-28-2010
Last Update Date
01-28-2010
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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.

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

MR. RENE PABON

Authorized Official Title
RETAIL ESTRATEGIC BUSINESS DIRECTOR
Authorized Official Phone
(787) 653-8094

Reviews for SAMS CLUB OPTICA #6515

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760713804, enumerated as an "organization" on January 28, 2010.

The provider is located at PLAZA HUMACAO CARR #3 KM 82.0 PUNTA SANTIAGO, PR 00741 and the phone number is (787) 285-8815.

Eyewear Supplier with taxonomy code 332H00000X.