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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAM'S CLUB OPTICAL

Active Organization

SAM'S CLUB OPTICAL is a Eyewear Supplier organization located in NORMAL, Illinois. NPI 1104912161 is currently active in the NPPES registry. Verify at CMS.

Eyewear Supplier · NORMAL, IL

Registration Details

NPI Number
1104912161
Provider Type
Organization
NPI Issued
Oct 5, 2006 (19.89016556079 yrs)
Last Updated
Sep 11, 2025

Practice Information

Address
2151 SHEPARD RD
NORMAL, IL, 617616414
Browse IL providers · Browse ZIP 61761
Phone
3094543138
Primary Specialty
Eyewear Supplier
332H00000X
Additional Specialty
Eyewear Supplier

Other Eyewear Supplier Organizations in NORMAL, IL

Name NPI
WAL-MART STORES, INC 1942382825
HOME TOWN OPTICAL LLC 1437535101
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.