Sam's Optical West LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

SAM'S OPTICAL WEST LLC

Practice address

3383 N Meridian Ave
Newcastle, OK 73065-3634

Phone

(405) 387-4700

NPI assigned

Oct 24, 2014

Last updated

Oct 24, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shelly Bertin

Title

Co-Owner

Phone

(405) 387-4700

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1033514690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3383 N MERIDIAN AVE",
            "city": "NEWCASTLE",
            "state": "OK",
            "postal_code": "730653634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3383 N MERIDIAN AVE",
            "city": "NEWCASTLE",
            "state": "OK",
            "postal_code": "730653634",
            "telephone_number": "405-387-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM'S OPTICAL WEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "BERTIN",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "405-387-4700"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Rennie, RN, APRN
• Darren Rice
• Sheila Ridley
• Shelbi Diane Robinett, DDS
• Robyn Lea Ross, MPT
• Andrew Alan Sanders, PHARMD
• Destiny Schlicher
• Steve Louis Schoelen, M.D.
• Senior Eye Care Service of America (Multi Service Co.)
• Senior Eye Care Service of America, LLC (Multi Service Co.)

• Optician in Newcastle, OK
• Providers in Newcastle, OK by specialty
• Optician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.