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 1033299417

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

In the registry since
2006
Specialties on file
2

Practice location Address checks out

257 Grandview Blvd
Madison, MS 39110-5514
Phone: (601) 977-0465
Fax: (601) 898-1962
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 number1033299417
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Sr Director · (480) 853-0515
Other names Sam'S Club Optical 30-8271
NPI enumeratedOctober 17, 2006
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing address1 Customer Dr, Ms 0445, Bentonville, AR 72716-0235

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