SAM'S CLUB OPTICAL 30-8247
NPI 1609957380
Technician/Technologist - Optician in Homewood, AL

NPI Status: Active since October 18, 2006

Contact Information

201 LAKESHORE PKWY
HOMEWOOD, AL
ZIP 35209
Phone: (205) 941-3326

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  • Organization
  • Technician/Technologist
  • Optician
  • Accepts Insurance
  • CLIA Number: 01D2141407
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 12-12-2025

About SAM'S CLUB OPTICAL 30-8247

This page provides the complete NPI Profile along with additional information for Sam's Club Optical 30-8247, a provider established in Homewood, Alabama operating as a Technician/technologist, focusing in optician . The healthcare provider is registered in the NPI registry with number 1609957380 assigned on October 2006. The practitioner's primary taxonomy code is 156FX1800X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Sam's Club Optical 30-8247. The authorized official of this NPI record is Linda M. Epperson (Npi Coordinator)

NPI
1609957380
Provider Legal Name
SAM'S CLUB OPTICAL
Other Organization Name
SAM'S CLUB OPTICAL 30-8247
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
201 LAKESHORE PKWY HOMEWOOD, AL 35209
Location Phone
(205) 941-3326
Mailing Address
702 SW 8TH STREET BENTONVILLE, AR 72716
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-18-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Technician/Technologist Optician

Taxonomy Code
156FX1800X
Type
Eye and Vision Services Providers
Taxonomy Description
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Max 70/50 $6700 - PPO
  • Blue Max 90/70 $1500 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
  • Blue Saver 60/40 $6100 - PPO
  • Blue Saver 90/70 $3200 - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LINDA M. EPPERSON

Authorized Official Title
NPI COORDINATOR
Authorized Official Phone
(316) 788-5580

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
01D2141407
Facility Type
Pharmacy
Certificate Effective Date
December 13, 2023
Certificate Expiration Date
December 12, 2025
Laboratory Director
DALTON WALTERS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sam's Club Optical 30-8247 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609957380
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
260918514316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 8 + 5 + 1 + 4 + 3 + 1 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1609957380 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1336514413 TREVOR WALTERS PHARM. D.
Individual
Pharmacist201 LAKESHORE PKWY
BIRMINGHAM, AL 35209
(205) 941-0376
1245698679 BETHANY RILEY
Individual
Pharmacist201 LAKESHORE PKWY
HOMEWOOD, AL 35209
(205) 941-0376
1265459572SAMS EAST INC
Organization
Pharmacy (Community/Retail Pharmacy)201 LAKESHORE PKWY
HOMEWOOD, AL 35209
(205) 941-0376

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609957380, enumerated in the NPI registry as an "organization" on October 18, 2006

The provider is located at 201 Lakeshore Pkwy Homewood, Al 35209 and the phone number is (205) 941-3326

This medical organization specializes in Technician/Technologist with taxonomy code 156FX1800X with a focus in Optician

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 01D2141407 for a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 18, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.