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

Sam's Club Optical

Organization Optician · NPI 1295040665

Sam's Club Optical is an Optician in Nicholasville, Kentucky. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2
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Practice location Address checks out

103 Bryant Dr
Nicholasville, KY 40356-9225
Phone: (859) 881-0695
Fax: (859) 881-0698
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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 number1295040665
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWal-Mart Stores Inc
Authorized official Kimberly Canonic — Sr Director · (480) 853-0515
Other names Sam'S Club Optical 30-4728; Sam'S Optical Center 30-4728
NPI enumeratedAugust 10, 2010
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address1 Customer Dr, Ms 0445, Bentonville, AR 72716-0445

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