SAM'S CLUB OPTICAL
NPI 1790880920
Technician/Technologist - Optician in Milwaukee, WI
NPI Status: Active since September 13, 2006
Contact Information
7701 W CALUMET RD
MILWAUKEE, WI
ZIP 53223
Phone: (414) 365-3700
- Organization
- Technician/Technologist
- Optician
- CLIA Number: 52D2258434
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 04-20-2026
About SAM'S CLUB OPTICAL
This page provides the complete NPI Profile along with additional information for Sam's Club Optical, a provider established in Milwaukee, Wisconsin operating as a Technician/technologist, focusing in optician . The healthcare provider is registered in the NPI registry with number 1790880920 assigned on September 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. The authorized official of this NPI record is Linda M. Epperson (Npi Coordinator)
- NPI
- 1790880920
- Provider Legal Name
- SAM'S CLUB OPTICAL
- Other Organization Name
- SAM'S CLUB OPTICAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 7701 W CALUMET RD MILWAUKEE, WI 53223
- Location Phone
- (414) 365-3700
- Mailing Address
- 702 SW 8TH STREET BENTONVILLE, AR 72716
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-13-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
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.
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
- 52D2258434
- Facility Type
- Pharmacy
- Certificate Effective Date
- April 21, 2024
- Certificate Expiration Date
- April 20, 2026
- Laboratory Director
- EVA MILA OCULARES
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sam's Club Optical 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. | |||||||||
| 1 | 7 | 9 | 0 | 8 | 8 | 0 | 9 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 16 | 8 | 0 | 9 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 6 + 8 + 0 + 9 + 4 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1790880920 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790880920, enumerated in the NPI registry as an "organization" on September 13, 2006
The provider is located at 7701 W Calumet Rd Milwaukee, Wi 53223 and the phone number is (414) 365-3700
This medical organization specializes in Technician/Technologist with taxonomy code 156FX1800X with a focus in Optician
The provider's CLIA number is 52D2258434 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 September 13, 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].
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