Active NPI
Sam's East Inc
Doing business as Sam's Optical 30-6372
- Eyewear Supplier
- Dallas, TX
National Provider Identifier
1972697027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- SAM'S EAST INC
- Doing business as
- Sam's Optical 30-6372
- Practice address
- 6185 Retail Rd
Dallas, TX 75231 - Phone
- (241) 361-9224
- NPI assigned
- Oct 3, 2006
- Last updated
- Nov 8, 2011
- 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 | NU | Primary | |
| Optician | 156FX1800X | NU |
Addresses
Primary practice location
6185 Retail Rd
Dallas, TX 75231
Mailing address
702 SW 8TH St
Bentonville, AR 72716-0445
Phone (479) 277-1238
Other names 1
- Sam's Optical 30-6372
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 17
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320710400000",
"number": "1972697027",
"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",
"telephone_number": "479-277-1238",
"fax_number": "479-277-4331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6185 RETAIL RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "75231",
"telephone_number": "241-361-9224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAM'S EAST INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WAL-MART STORES INC",
"enumeration_date": "2006-10-03",
"last_updated": "2011-11-08",
"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": "NU",
"license": null,
"primary": true
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sam's Optical 30-6372",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dallas, TX
- Teena Sam, PHARMD
- Sam's Club Optical (Sam's Club Optical 30-8282)
- Sam's Club Optical (Sam's Club Optical 30-8242)
- Sam's East Inc (Sam's Optical 30-8248)
- Sam's East Inc (Sam's Club Optical 30-6376)
- Sam's East, Inc. (Sam's Club Pharmacy 10-6376)
- Sam's Legacy Adult Day Center
- Frank Sama, PHARMD
- Farid Samadzada, DC
- Aaron Samadzadah, CAA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.