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Sam'S Club Optical

Sam'S Club Optical is a healthcare organization registered as Eyewear Supplier in Normal, IL, holding Type 2 (organization) NPI 1104912161 since 2006. The authorized official on file is Linda Epperson, Npi Coordinator.

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NPI 1104912161
Entity type Organization (Type 2)
Legal business name Sam'S Club Optical
Other name <Unavail>
Practice address 2151 SHEPARD RD, Normal, IL, 61761
Phone 3094543138
Enumeration date 2006-10-05
Last updated in NPPES 2025-09-11

Authorized official

Name Linda Epperson
Title Npi Coordinator
Phone 3167885580

Taxonomy & classification

Taxonomy code Specialty Primary License State
156FX1800X Optician Secondary
332H00000X Eyewear Supplier Primary
Copy-ready billing details
Provider: Sam'S Club Optical
NPI: 1104912161
Taxonomy: 332H00000X (Eyewear Supplier)
Address: 2151 SHEPARD RD, Normal, IL, 61761

Providers at this address

NPI Name Type Specialty Location
1215954516 Sams West Inc Organization Community/Retail Pharmacy Normal, IL
1871136234 Kasey Cardwell Individual Pharmacist Normal, IL
1770198582 Reed Hansen Individual Pharmacist Normal, IL
1366045692 Coreliss Blue Individual Pharmacist Normal, IL
1306658562 Nicholas Hammers Individual Hearing Instrument Specialist Normal, IL

Verify this record

Cross-check NPI 1104912161 against the authoritative CMS record: view Sam'S Club Optical on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-11. Verify at npiregistry.cms.hhs.gov.
Where is Sam'S Club Optical located?
The practice location on file with NPPES is in Normal, IL.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-11.