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 1467636449

Sam's Club Optical is an Optician in Port St Lucie, Florida. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2

Practice location Address checks out

1750 SW Gatlin Blvd
Port St Lucie, FL 34953
Phone: (772) 878-1307
Show map & directions

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

Specialties & licences

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

Record details

NPI number1467636449
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Simmons — Npi Associate · (479) 277-9373
Other names Sam'S Club Optical 30-4972
NPI enumeratedDecember 26, 2007
Last updated in NPPESDecember 26, 2007
Mailing address702 Sw 8th St, Bentonville, AR 72716-0235

Other providers in Port St Lucie