Sam's Optical, Oklahoma City LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

SAM'S OPTICAL, OKLAHOMA CITY LLC

Practice address

500 W I 240 Service Rd
Oklahoma City, OK 73139-4400

Phone

(405) 778-6227

NPI assigned

Jun 25, 2009

Last updated

Jun 25, 2009By 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

Mr. Scott Jacob Edwards

Title

Owner

Phone

(405) 778-6227

Specialties & licenses 1

Addresses

Tax ID family

Sam's Optical Oklahoma City LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Sam's Optical Oklahoma City

  • Optician
  • Edmond, OK
  • NPI 1942565338
  NPD tax ID
• Sam's Optical, Oklahoma City, LLC

  • Optician
  • Oklahoma City, OK
  • NPI 1922252766
  NPD tax ID

Locations

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1336377605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W I 240 SERVICE RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731394400",
            "telephone_number": "405-778-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W I 240 SERVICE RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731394400",
            "telephone_number": "405-778-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM'S OPTICAL, OKLAHOMA CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-778-6227",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam's East, Inc. (Sam's Optical Center 30-4731)
• 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
• Sam's Optical, Penn Square, LLC
• Sophia Samadian, M. ED
• Rajesh Samannan, M.D.,
• Priya Samant, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.