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 1104912161

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

In the registry since
2006
Specialties on file
2

Practice location Address checks out

2151 Shepard Rd
Normal, IL 61761-6414
Phone: (309) 454-3138
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 number1104912161
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linda Epperson — Npi Coordinator · (316) 788-5580
Other names Sam'S Club Optical 30-4815
NPI enumeratedOctober 5, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address702 Sw 8th Street, Bentonville, AR 72716-0235

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