Active NPI
Sam's East, Inc
Doing business as Sam's Club Vision Center 30-7676
- Eyewear Supplier
- Amarillo, TX
National Provider Identifier
1225407380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- SAM'S EAST, INC
- Doing business as
- Sam's Club Vision Center 30-7676
- Practice address
- 8952 Westgate Pkwy
Amarillo, TX 79124-1782 - Phone
- (806) 513-6494
- Fax
- (806) 513-6484
- NPI assigned
- Sep 18, 2015
- Last updated
- Sep 18, 2015
- Organization subpart
- Yes
- Parent organization
- WAL-MART STORES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Levine
- Title
- Director
- Phone
- (479) 204-8550
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | NU | Primary | |
| Optician | 156FX1800X | NU |
Addresses
Primary practice location
8952 Westgate Pkwy
Amarillo, TX 79124-1782
Mailing address
702 SW 8TH St
Bentonville, AR 72716-0445
Phone (479) 204-8550
Other names 1
- Sam's Club Vision Center 30-7676
National Provider Directory
National Provider Directory- Tax ID family
- Sams Club Optical
- Part of
- Walmart Pharmacy 10-206
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Locations
8952 Westgate Pkwy W
Amarillo, TX 79124
Phone (806) 513-6487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442534400000",
"number": "1225407380",
"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": "479-204-8550",
"fax_number": "479-277-4331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8952 WESTGATE PKWY",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791241782",
"telephone_number": "806-513-6494",
"fax_number": "806-513-6484"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAM'S EAST, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WAL-MART STORES INC",
"enumeration_date": "2015-09-18",
"last_updated": "2015-09-18",
"status": "A",
"authorized_official_last_name": "LEVINE",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "479-204-8550"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sam's Club Vision Center 30-7676",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.