Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Sam'S Club Optical

Eyewear Supplier in Myrtle Beach, SC · enumerated 2006 · authorized official Kimberly Canonic, Sr. Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124123914

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Registry record

Entity type Organization (Type 2)

Legal business name Sam'S Club Optical

Other name <Unavail>

Practice address 1946 10th Avenue North, Myrtle Beach, SC, 29577

Phone (843) 946-9521

Fax (843) 916-1481

Enumeration date Sep 14, 2006

Last updated in NPPES Oct 14, 2025

Taxonomy & classification

156FX1800X Optician Eye and Vision Services Providers Secondary

332H00000X Eyewear Supplier Suppliers Primary

Authorized official

Name Kimberly Canonic

Title Sr. Director

Phone (479) 371-1168

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 → Validate an NPI →

Frequently asked questions

Where is Sam'S Club Optical located?

The practice location on file with NPPES is in Myrtle Beach, SC.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-10-14. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-14.