Active NPI
Sams East Inc
Doing business as Sams Club Optical 30-6462
- Eyewear Supplier
- Augusta, ME
National Provider Identifier
1710234281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- SAMS EAST INC
- Doing business as
- Sams Club Optical 30-6462
- Practice address
- 45 Marketplace Dr
Augusta, ME 04330-8037 - Phone
- (207) 623-2757
- NPI assigned
- Aug 14, 2012
- Last updated
- Aug 23, 2012
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | |||
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
45 Marketplace Dr
Augusta, ME 04330-8037
Mailing address
702 SW 8TH St
Bentonville, AR 72716-0445
Other names 1
- Sams Club Optical 30-6462
National Provider Directory
National Provider Directory- Tax ID family
- Sam's Hearing Aid Center 6332
- Part of
- Walmart Pharmacy 10-206
Organizations with this tax ID in the same state 3
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Locations
45 Marketplace Dr
Augusta, ME 04330
Phone (207) 623-2757
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1345680000000",
"number": "1710234281",
"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": "45 MARKETPLACE DR",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043308037",
"telephone_number": "207-623-2757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMS EAST INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WAL-MART STORES INC",
"enumeration_date": "2012-08-14",
"last_updated": "2012-08-23",
"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": "156FX1800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE 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": "Sams Club Optical 30-6462",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.