SAM'S EAST, INC (NPI# 1245624071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245624071 |
| Entity Type | Organization |
| Organization Name | SAM'S EAST, INC |
| Other Organization Name | SAM'S CLUB VISION CENTER 30-4930 |
| Practice Address |
1177 Sams St Cookeville TN 38506-4007 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 4792734288 |
| Practice Fax Number | 4792774331 |
| Mailing Telephone | 4792048550 |
| Mailing Fax Number | 4792044331 |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-04-06 |
| Authorized Official Name | LAURA LEVINE (DIRECTOR) |
| Authorized Official Telephone | 4792048550 |
| 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 |
|---|---|
| Sam's Club Vision Center 30-4930 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780097667 | Sam's East, Inc | Technician/Technologist | 2861 Beene Blvd, Bossier City, LA 71111-5575 | 2014-06-09 |
| 1992147359 | Sam's East, Inc | Technician/Technologist | 600 West Central Texas Expressway, Harker Heights, TX 76548 | 2013-07-25 |
| 1255465399 | Sam's East, Inc | Pharmacy | 1025 West Blackhorse Pike, Pleasantville, NJ 08232 | 2007-03-14 |
| 1265521140 | Sam's East, Inc | Technician/Technologist | 5550 S. Clack St., Abilene, TX 79606-0000 | 2006-10-11 |
| 1225407380 | Sam's East, Inc | Technician/Technologist | 8952 Westgate Pkwy, Amarillo, TX 79124-1782 | 2015-09-18 |
| 1427433051 | Sam's East, Inc | Technician/Technologist | 1500 S Orange Blossom Trl, Apopka, FL 32703 | 2015-07-24 |
| 1700265642 | Sam's East, Inc | Technician/Technologist | 849 Stoneridge Pkwy, Jefferson City, MO 65109-5034 | 2015-05-26 |
| 1477947869 | Sam's East, Inc | Technician/Technologist | 4150 Belt Line Rd, Addison, TX 75001 | 2015-03-24 |
| 1144611161 | Sam's East, Inc | Technician/Technologist | 300 Highlands Square Dr, Hendersonville, NC 28792-5732 | 2015-02-12 |
| 1326449265 | Sam's East, Inc | Technician/Technologist | 22402 Bellaire Blvd, Richmond, TX 77407-3903 | 2014-09-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | SAM'S EAST, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| New York State Corporations | SAM'S EAST, INC. | 111 Eighth Avenue, New York, New York 10011 |
| Connecticut Business Registrations | SAM'S EAST, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Washington State Corporations | SAM'S EAST, INC. | 708 Sw 8th Street, Bentonville, AR 72716 |
| Colorado Business Entities | SAM'S EAST, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Vermont Business Registrations | SAM'S EAST, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Oklahoma Business Registrations | SAM'S EAST, INC. | 702 Sw 8th St, Bentonville, AR 72716 |
| Street Address |
1177 SAMS ST |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38506-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891851937 | Heather Kay Brown-conner | Optometrist | 1177 Sams St, Cookeville, TN 38506-4007 | 2006-12-30 |
| 1639560642 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 1177 Sams St, Cookeville, TN 38506-4007 | 2015-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538782909 | Eric E Tywon | Physical Therapy Assistant | 1519 East Spring St Ste G, Cookeville, TN 38506 | 2020-05-20 |
| 1669955316 | Charaya Chontay Upton | Counselor | 128 Bilbrey St Apt 1, Cookeville, TN 38506 | 2018-09-10 |
| 1639655368 | Bunker Hill Staffing Urgent Care LLC | Clinic/Center | 1300 Bunker Hill Rd Ste B, Cookeville, TN 38506 | 2018-07-16 |
| 1659887545 | Rocky Mountain Holdings, Lcc | Ambulance | 4570 S Jefferson Ave, Cookeville, TN 38506 | 2017-12-14 |
| 1093235665 | Luis Filipe Mariusso | Dentist | 1640 Salem Rd, Cookeville, TN 38506 | 2017-06-23 |
| 1538611264 | Tammy Mccoy | Counselor | 4900 Rocky Point Rd, Cookeville, TN 38506 | 2016-10-28 |
| 1063964799 | Bunker Hill Staffing LLC | Nurse Practitioner | 1300 Bunker Hill Rd Ste A, Cookeville, TN 38506 | 2016-10-28 |
| 1679942155 | Upper Cumberland Family Dentistry | Dentist | 554 West Main Street, Algood, TN 38506 | 2015-09-15 |
| 1124376272 | Steven T Ford | Counselor | 568 Scenic Lane, Cookeville, TN 38506 | 2012-08-21 |
| 1780961169 | Heather Harden Cathey | Nurse Practitioner | 1120 Sam's Street, Cookeville, TN 38506 | 2011-11-14 |
| Find all providers in zip 38506 | ||||
| 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 |
|---|---|---|---|---|
| 1558445700 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 377 West Jackson Street, Cookeville, TN 38501 | 2006-10-24 |
| 1588738926 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 377 W Jackson St, Jackson Plaza, Cookeville, TN 38501-5930 | 2006-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376174565 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 6722 Charlotte Pike Ste 107, Nashville, TN 37209-4267 | 2020-01-28 |
| 1124527858 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 2012 Crossing Circle, Suite B, Spring Hill, TN 37174-3207 | 2018-02-08 |
| 1710404801 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1207 Villa Pl Ste B, Nashville, TN 37212-3018 | 2017-08-29 |
| 1730606823 | Jand Inc. | Eyewear Supplier (Equipment, not the service) | 401 Church St Ste 7, Nashville, TN 37219-2213 | 2017-08-29 |
| 1104357524 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 2840 N Germantown Pkwy, Memphis, TN 38133-8149 | 2017-03-27 |
| 1114398534 | Dr Mark Lynn & Associates Pllc | Eyewear Supplier (Equipment, not the service) | 1150 Vann Drive, Jackson, TN 38305-6001 | 2015-10-12 |
| 1205206588 | Dr Mark Lynn & Associates Pllc | Eyewear Supplier (Equipment, not the service) | 5307 Highway 153, 101, Hixson, TN 37343-4912 | 2015-09-30 |
| 1518396761 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 10930 Parkside Dr., Knoxville, TN 37934 | 2013-11-08 |
| 1841537107 | The Eyeglass Place | Eyewear Supplier (Equipment, not the service) | 8079 Kingston Pike Ste P, Knoxville, TN 37919-3909 | 2013-01-07 |
| 1699035972 | Barton Perreira Retail II, LLC | Eyewear Supplier (Equipment, not the service) | 4017 Hillsboro Pike, 309-a, Nashville, TN 37215-2777 | 2012-05-21 |
| Find all providers with the same taxonomy | ||||
| City | COOKEVILLE |
| Zip Code | 38506 |
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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.