Sam'S Crossroads Optical

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

SAM'S CROSSROADS OPTICAL

Practice address

1078 Crossroads Mall
Ste D
Oklahoma City, OK 73149-4202

Phone

(405) 631-7558

NPI assigned

Mar 5, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sam J Edwards

Title

Optican

Phone

(405) 631-7558

Specialties & licenses 1

Addresses

Other names 1

• Sam's Optical Other name

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1386814432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 CROSSROADS MALL",
            "address_2": "STE D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731494202",
            "telephone_number": "405-631-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1078 CROSSROADS MALL",
            "address_2": "STE D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731494202",
            "telephone_number": "405-631-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM'S CROSSROADS OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTICAN",
        "authorized_official_telephone_number": "405-631-7558"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sam's Optical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Craig Salvador, MD
• Michelle R Salvaggio, MD
• Lisa Salzer, RN
• Elna Sam, APRN-CNP
• Nevinson Pradeep Sam, D.O.
• Sam'S East, Inc.
• Sam'S East, Inc.
• Sam'S East, Inc.
• Sam'S East, Inc.
• Sam'S East, Inc.

• 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 Mar 7, 2008; 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.