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 1124123914

Sam's Club Optical is an Optician in Myrtle Beach, South Carolina. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

1946 10th Ave N
Myrtle Beach, SC 29577-5624
Phone: (843) 946-9521
Fax: (843) 916-1481
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 number1124123914
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Sr. Director · (479) 371-1168
Other names Sam'S Club Optical 30-6353
NPI enumeratedSeptember 14, 2006
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025
Mailing address1 Customer Dr, Ms 0445, Bentonville, AR 72716-0445

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