Active NPI
Sam'S East, Inc.
- Eyewear Supplier
- Newington, CT
National Provider Identifier
1184543753
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 30-6636
- Practice address
- 3465 Berlin Turn Pike
Newington, CT 06111-5106 - Phone
- (860) 667-8809
- NPI assigned
- Jul 15, 2026
- 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
- Kimberly Canonic
- Title
- Director of Health Care Contracting
- Phone
- (480) 853-0515
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | |||
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
3465 Berlin Turn Pike
Newington, CT 06111-5106
Mailing address
1 Customer Dr # Ms 0445
Bentonville, AR 72716-0445
Other names 1
- Sam's Optical Center 30-6636
National Provider Directory
National Provider Directory- Tax ID family
- Sam'S Hearing Aid Center 6332
Organizations with this tax ID in the same state 2
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Eyewear Supplier
- Manchester, CT
- NPI 1902982747
-
- Community/Retail Pharmacy
- Newington, CT
- NPI 1427298959
Locations
3465 Berlin Tpke
Newington, CT 06111
Phone (860) 665-7813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784073600000",
"number": "1184543753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CUSTOMER DR # MS 0445",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727160445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3465 BERLIN TURN PIKE",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061115106",
"telephone_number": "860-667-8809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAM'S EAST, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-15",
"last_updated": "2026-07-15",
"certification_date": "2026-06-23",
"status": "A",
"authorized_official_last_name": "CANONIC",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "DIRECTOR OF HEALTH CARE CONTRACTING",
"authorized_official_telephone_number": "480-853-0515"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sam's Optical Center 30-6636",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.