SAMS EAST INC (NPI# 1114277597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114277597 |
Entity Type | Organization |
Organization Name | SAMS EAST INC |
Other Organization Name | SAMS CLUB OPTICAL 30-8169 |
Practice Address |
3819 State Road 26 E Lafayette IN 47905-4872 |
Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
Practice Telephone | 7654494309 |
Enumeration Date | 2012-09-13 |
Last Update Date | 2012-09-13 |
Authorized Official Name | DIANNA PAINTER (ENROLLMENT SPECIALIST) |
Authorized Official Telephone | 4792771238 |
Is Organization Subpart | Y |
Parent Organization Name | WAL-MART STORES INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
Other Name | Type Code |
---|---|
Sams Club Optical 30-8169 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225575574 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 201 Golden Triangle Blvd, Keller, TX 76248-4484 | 2017-01-25 |
1164870366 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 11460 Royall Cotton Road, Wake Forest, NC 27587-0000 | 2016-05-27 |
1518321892 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4001 Sw 30th Pl, Gainesville, FL 32608-1907 | 2016-04-12 |
1174987861 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 5240 Frederica St, Owensboro, KY 42301-7420 | 2016-04-08 |
1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
1659749653 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 9464 Main St, Woodstock, GA 30188-3715 | 2015-09-08 |
1770969990 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 8952 Westgate Pkwy, Amarillo, TX 79124-1782 | 2015-08-11 |
1699154161 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 1500 S Orange Blossom Trl, Apopka, FL 32703 | 2015-05-29 |
1134514391 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 849 Stoneridge Pkwy, Jefferson City, MO 65109-5034 | 2015-04-03 |
1316330624 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 200 Emily Dr, Clarksburg, WV 26301-5500 | 2015-03-11 |
Street Address |
3819 STATE ROAD 26 E |
City | LAFAYETTE |
State | IN |
Zip Code | 47905-4872 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
Find all providers in zip 47905 |
Taxonomy Code | 332H00000X |
Grouping | Suppliers |
Classification | Eyewear Supplier (Equipment, not the service) |
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407216492 | Dr Mark Lynn & Associates Pllc | Eyewear Supplier (Equipment, not the service) | 2141 Sagamore Pkwy South, Lafayette, IN 47905-5109 | 2016-03-03 |
1932507928 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 4415 Amb Caffery Pkwy, Suite 119, Lafayette, LA 70508-6771 | 2014-12-08 |
1114244043 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 3630 State Road 26 E, Lafayette, IN 47905-4807 | 2010-05-03 |
1750545679 | Hopkins Opticians, Inc. | Eyewear Supplier (Equipment, not the service) | 3652 Rome Dr, Lafayette, IN 47905-4465 | 2008-07-10 |
1225208317 | Jennifer Carter | Eyewear Supplier (Equipment, not the service) | 2625 N Hwy 27, Walmart Vision Center, Lafayette, GA 30728 | 2008-03-05 |
1417087545 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 2300 Sagamore Parkway South, Lafayette, IN 47905 | 2007-03-07 |
1598892879 | Louisiana State Optical of Lafayette, Inc. | Eyewear Supplier (Equipment, not the service) | 2813 Johnston St, Lafayette, LA 70503-3243 | 2007-02-27 |
1346391315 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 3630 State Rd 26 E, Lafayette, IN 47905-4807 | 2007-01-16 |
1497811756 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 5717 Johnston St, Acadiana Mall, Lafayette, LA 70503-0503 | 2006-12-29 |
1497846232 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 2415 Sagamore Pkwy, Tippecanoe Mall, Lafayette, IN 47905-5124 | 2006-09-27 |
Find all providers in LAFAYETTE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.