MEDICARE: SAM'S CLUB OPTICAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier
2	156FX1800X	Optician

General Provider Information

NPI Number	:	1790866465
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAM'S CLUB OPTICAL

Provider Business Mailing Address
First Line	:	702 SW 8TH STREET
Second Line	:
City	:	BENTONVILLE
State	:	AR
Zip	:	72716-0235
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3081 N HWY 112
Second Line	:
City	:	FAYETTEVILLE
State	:	AR
Zip	:	72704
Country	:	US
Telephone Number	:	479-587-1857
Fax Number	:

Authorized Official
Title or Position	:	NPI COORDINATOR
Name	:	LINDA M. EPPERSON
Credential	:
Telephone Number	:	316-788-5580

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	08/30/2007

Similar Medicare Providers

1093719957 — DR. ALLYSON MERTINS OD
Practice Location Address:

1188 N SALEM RD , SUITE 12
FAYETTEVILLE, AR
72704-8807

Practice Phone: 479-442-8400
Practice Fax: 800-807-8144

1245223841 — DEBORAH BRETT BIBB MD
Practice Location Address:

1188 N SALEM RD , SUITE 6
FAYETTEVILLE, AR
72704-8808

Practice Phone: 479-442-0006
Practice Fax: 479-442-3038

1861472920 — MRS. HEATHER W CARR M.S., CCC-SLP
Practice Location Address:

14807 BLUE JAY LN
FAYETTEVILLE, AR
72704-8400

Practice Phone: 479-444-7882
Practice Fax: 479-444-7782

1114907854 — DR. BLAIR B MASTERS DC
Practice Location Address:

1583 MAIN DR
FAYETTEVILLE, AR
72704-5214

Practice Phone: 479-443-0800
Practice Fax: 479-443-5538

1386615979 — DR. ERIC W WALKER DC
Practice Location Address:

3561 JOHNSON MILL BLVD STE 101
FAYETTEVILLE, AR
72704-5065

Practice Phone: 479-571-8400
Practice Fax: 479-571-8401

1245201813 — DR. STEVEN W WHITELAW DC, CCSP
Practice Location Address:

3561 JOHNSON MILL BLVD STE 101
FAYETTEVILLE, AR
72704-5065

Practice Phone: 479-571-8400
Practice Fax: 479-571-8401

1073585279 — MRS. ANGELA K BURNS ANP
Practice Location Address:

572 N SABINE PASS RD
FAYETTEVILLE, AR
72704-7167

Practice Phone: 501-425-0205
Practice Fax:

Directions to “SAM'S CLUB OPTICAL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.