Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sam's Club Optical

Organization Optician · NPI 1033210679

Sam's Club Optical is an Optician in Mishawaka, Indiana. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

120 Indian Ridge Blvd
Mishawaka, IN 46545-9033
Phone: (574) 243-8048
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X
Optician Taxonomy 156FX1800X

Record details

NPI number1033210679
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linda Epperson — Npi Coordinator · (316) 788-5580
Other names Sam'S Club Optical 30-6315
NPI enumeratedSeptember 26, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address702 Sw 8th Street, Bentonville, AR 72716-0235

Other providers in Mishawaka