Active NPI
Sam's East, Inc.
Doing business as Sam's Optical Center 30-4731
- Eyewear Supplier
- Oklahoma City, OK
National Provider Identifier
1134765100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- SAM'S EAST, INC.
- Doing business as
- Sam's Optical Center 30-4731
- Practice address
- 9000 NW Passage
Oklahoma City, OK 73132-3414 - Phone
- (479) 204-1258
- NPI assigned
- Nov 25, 2019
- Last updated
- Jan 9, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Little
- Title
- Director of Health Care Contracting
- Phone
- (479) 277-2500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary | ||
| Optician | 156FX1800X |
Addresses
Primary practice location
9000 NW Passage
Oklahoma City, OK 73132-3414
Mailing address
702 SW 8TH St
Bentonville, AR 72716-0445
Phone (479) 204-1258
Other names 1
- Sam's Optical Center 30-4731
National Provider Directory
National Provider Directory- Tax ID family
- Sams Club Optical
Organizations with this tax ID in the same state 14
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578528000000",
"number": "1134765100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 SW 8TH ST",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727160445",
"telephone_number": "479-204-1258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 NW PASSAGE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731323414",
"telephone_number": "479-204-1258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAM'S EAST, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-25",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A",
"authorized_official_last_name": "LITTLE",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "DIRECTOR OF HEALTH CARE CONTRACTING",
"authorized_official_telephone_number": "479-277-2500"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sam's Optical Center 30-4731",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Oklahoma City, OK
- Michelle R Salvaggio, MD
- Lisa Salzer, RN
- Elna Sam, APRN-CNP
- Nevinson Pradeep Sam, D.O.
- Sam's Crossroads Optical
- Sam's East, Inc. (Sam's Optical Center 30-8117)
- Sam's East, Inc. (Sam's Optical Center 30-8289)
- Sam's East, Inc. (Sam's Optical Center 30-7189)
- Sam's East, Inc. (Sam's Club Vision Center 30-7189)
- Sam's Optical, Oklahoma City LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.