Sam's East, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

SAM'S EAST, INC.

Doing business as

Sam's Club Vision Center 30-7189

Practice address

4101 N May Ave
Oklahoma City, OK 73112

Phone

(405) 200-0383

Fax

(405) 942-0615

NPI assigned

Feb 15, 2016

Organization subpart

Yes

Parent organization

WAL-MART STORES, INC.As reported in NPPES

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

Authorized official

Name

Laura Levine

Title

Dir Healthcare Contract & Enrollmen

Phone

(479) 204-8550

Specialties & licenses 2

Addresses

Other names 1

• Sam's Club Vision Center 30-7189 Doing business as

Tax ID family

Ability Network281 organizations share this tax ID, including this one

Part of

Walmart Pharmact

Locations

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.

• Wal-Mart Stores Inc.

  • Optician
  • Tulsa, OK
  • NPI 1265174148
  NPPES parent name

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1831558188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SW 8TH ST",
            "address_2": "MAILSTOP 0445",
            "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": "4101 N MAY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "405-200-0383",
            "fax_number": "405-942-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM'S EAST, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAL-MART STORES, INC.",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "DIR HEALTHCARE CONTRACT & ENROLLMEN",
        "authorized_official_telephone_number": "479-204-8550"
    },
    "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": "Sam's Club Vision Center 30-7189",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sam's Crossroads Optical
• 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 Optical, Oklahoma City LLC
• Sam's Optical, Oklahoma City, LLC
• Sam's Optical, Penn Square, LLC
• Sophia Samadian, M. ED
• Rajesh Samannan, M.D.,

• Eyewear Supplier in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Eyewear Supplier in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.