Active NPI
Sams East Inc
Doing business as Sam's Club Optical 30-4789
- Eyewear Supplier
- Peachtree City, GA
National Provider Identifier
1326348079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- SAMS EAST INC
- Doing business as
- Sam's Club Optical 30-4789
- Practice address
- 310 Fischer Rd
Peachtree City, GA 30277 - Phone
- (770) 304-8613
- NPI assigned
- Oct 28, 2010
- Last updated
- Oct 28, 2010
- 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
- Dianna Painter
- Title
- Enrollment Specialist
- Phone
- (479) 277-1238
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary | ||
| Optician | 156FX1800X |
Addresses
Primary practice location
310 Fischer Rd
Peachtree City, GA 30277
Mailing address
702 SW 8TH St.
Bentonville, AR 72716-0445
Other names 1
- Sam's Club Optical 30-4789
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 21
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Sam's Club Pharmacy 10-7658
- Community/Retail Pharmacy
- Brunswick, GA
- NPI 1316499437
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Optician
- Cumming, GA
- NPI 1962283168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288224000000",
"number": "1326348079",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 FISCHER RD",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "30277",
"telephone_number": "770-304-8613"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMS EAST INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WAL-MART STORES INC",
"enumeration_date": "2010-10-28",
"last_updated": "2010-10-28",
"status": "A",
"authorized_official_last_name": "PAINTER",
"authorized_official_first_name": "DIANNA",
"authorized_official_title_or_position": "ENROLLMENT SPECIALIST",
"authorized_official_telephone_number": "479-277-1238"
},
"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 Club Optical 30-4789",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.