P Praxis·MD
● Active Type 2 · Organization

Sam'S Club Optical

Technician/Technologist·Columbus, GA· NPI 1619038254 · Enumerated 2006 · 19 years on NPI
Sam'S Club Optical is 1 of 393 technician/technologist organizations in Georgia.
NPI age
19 years
Enumerated 2006-12-13
Primary specialty
Technician/Technologist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
McMullin
Dir, Contracting
Last NPPES update
2023-07-26
Source: monthly bulk 2026-05

How this organization compares

Across 393 active technician/technologist providers in Georgia.

NPI age
19 years
↑ 16 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 19% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
5448 A Whittlesey Blvd
Columbus, GA 31909
📞 7066496377fax 7066496377
Mailing address
702 Sw 8th Street
Bentonville, AR 727160235

Authorized official

Matt McMullin
Dir, Contracting
📞 4793718711

Specialties

  • Technician/Technologist Primary
    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.
    taxonomy 156FX1800X
  • Eyewear Supplier
    An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
    taxonomy 332H00000X

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Sam's Club Optical 30-8213
    Type code 3 recorded 2023-07-26
  • Sam's Club Optical 30-8213
    Type code 3 recorded 2006-12-13

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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