SAM'S EAST, INC. (NPI# 1255958567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255958567 |
| Entity Type | Organization |
| Organization Name | SAM'S EAST, INC. |
| Other Organization Name | SAM'S OPTICAL CENTER 30-8241 |
| Practice Address |
6521 Se 29th St Midwest City OK 73110-3001 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 4057410012 |
| Mailing Telephone | 4792041258 |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-07-16 |
| Authorized Official Name | SARAH LITTLE (DIRECTOR OF HEALTH CARE CONTRACTING) |
| Authorized Official Telephone | 4792772500 |
| Is Organization Subpart | N |
| 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 Optical Center 30-8241 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705595 | Sam's East, Inc. | Technician/Technologist | 1117 W I 35 Frontage Rd, Edmond, OK 73034-7398 | 2019-11-25 |
| 1194251876 | Sam's East, Inc. | Technician/Technologist | 261 Wilson Ave, Hanover, PA 17331 | 2017-05-02 |
| 1316499437 | Sam's East, Inc. | Durable Medical Equipment & Medical Supplies | 10100 Canal Crossing, Brunswick, GA 31525-6705 | 2016-10-25 |
| 1972051373 | Sam's East, Inc. | Technician/Technologist | 8100 N 124th Street, Milwaukee, WI 53223 | 2016-09-14 |
| 1740737899 | Sam's East, Inc. | Durable Medical Equipment & Medical Supplies | 11920 Narcoossee Rd, Orlando, FL 32832-0000 | 2016-09-07 |
| 1700270014 | Sam's East, Inc. | Durable Medical Equipment & Medical Supplies | 4062 Lbj Freeway, Dallas, TX 75244 | 2015-03-25 |
| 1962807669 | Sam's East, Inc. | Technician/Technologist | 9498 Gateway North, El Paso, TX 79924 | 2014-10-24 |
| 1639574338 | Sam's East, Inc. | Technician/Technologist | 10901 Lakeline Mall Dr., Austin, TX 78717 | 2014-10-24 |
| 1578986758 | Sam's East, Inc. | Technician/Technologist | 621 N. Expressway 77, Harlingen, TX 78550 | 2014-01-24 |
| 1174140479 | Sam's East, Inc. | Technician/Technologist | 6922 S Mingo Rd, Tulsa, OK 74133-3216 | 2020-07-02 |
| 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 |
| Street Address |
6521 SE 29TH ST |
| City | MIDWEST CITY |
| State | OK |
| Zip Code | 73110-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861419996 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 6521 Se 29th St, Midwest City, OK 73110-3001 | 2006-07-16 |
| 1265033369 | Sara Beam | Pharmacist | 6521 Se 29th St, Midwest City, OK 73110-3001 | 2020-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939377 | Torry E Elston | Technician/Technologist | 5908 Se 15th St, Midwest City, OK 73110 | 2020-10-12 |
| 1083225783 | Daniel B Nguyen | Pharmacist | 1601 S Air Depot, Midwest City, OK 73110 | 2020-08-14 |
| 1114494903 | Tiandrea Jeanae Neal | Behavioral Analyst | 1212 S. Air Depot, Ste 17, Midwest City, OK 73110 | 2018-10-30 |
| 1467902593 | Brian Christopher Lewis | Case Manager/Care Coordinator | 8616 Cedar Ridge Drive, Midwest City, OK 73110 | 2016-10-13 |
| 1669839312 | National Iom, Pllc | Electrodiagnostic Medicine | 1205 S. Air Depot # 102, Midwest City, OK 73110 | 2016-01-26 |
| 1003292210 | Alexandrea Funston | Speech-Language Pathologist | 224 E Blossom Drive, Midwest City, OK 73110 | 2015-08-11 |
| 1184053399 | Ronya Caraway | Community/Behavioral Health | 7901 Ne 10th, B106, Midwest City, OK 73110 | 2013-11-07 |
| 1245678374 | Layfette Lamar Fletcher | Counselor | 405 Delia Street, Midwest City, OK 73110 | 2013-06-11 |
| 1114364163 | Kathryn Ann Gray | Social Worker | 1391 North Midwest Blvd., Midwest City, OK 73110 | 2013-05-31 |
| 1841542545 | Steven Atkins Akinnfest | Counselor | 417 Reed Place, Midwest City, OK 73110 | 2012-10-05 |
| Find all providers in zip 73110 | ||||
| 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 |
|---|---|---|---|---|
| 1124129135 | Eyemasters Inc | Eyewear Supplier (Equipment, not the service) | 6755 East Reno Street, Midwest City, OK 73110 | 2006-09-25 |
| 1578960951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 7199 Se 29th St, Suite 110-a, Midwest City, OK 73110-6003 | 2014-12-01 |
| 1982940508 | Mid-del Vision Source, Pllc | Eyewear Supplier (Equipment, not the service) | 2008 S Post Rd, Midwest City, OK 73130-6610 | 2012-12-31 |
| 1033235395 | Heritage Park Eye Care Center | Eyewear Supplier (Equipment, not the service) | 6912 E Reno Ave, Suite 101, Midwest City, OK 73110-2162 | 2007-03-21 |
| 1730204165 | Heritage Park Eye Care Center | Eyewear Supplier (Equipment, not the service) | 2008 S. Post Road, Midwest City, OK 73130 | 2007-03-21 |
| 1396861654 | Heritage Park Eye Care Center | Eyewear Supplier (Equipment, not the service) | 6912 E Reno Ave, Suite 101, Midwest City, OK 73110-2162 | 2007-03-21 |
| 1861518128 | Heritage Park Eye Care Center | Eyewear Supplier (Equipment, not the service) | 6912 E Reno Ave, Suite 101, Midwest City, OK 73110-2162 | 2007-03-21 |
| 1851417117 | Heritage Park Vision Source | Eyewear Supplier (Equipment, not the service) | 6912 E Reno Ave, Suite 101, Midwest City, OK 73110-2162 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172670 | Total Vision Care LLC | Eyewear Supplier (Equipment, not the service) | 10001 S Western Ave Ste 200, Oklahoma City, OK 73139-2997 | 2020-10-21 |
| 1932755733 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1932 N Perkins Rd, Stillwater, OK 74075-2978 | 2019-08-16 |
| 1396303855 | Nu Eyes of Florida Inc. | Eyewear Supplier (Equipment, not the service) | 1705 N 18th St, Broken Arrow, OK 74012-9357 | 2019-05-30 |
| 1265915631 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3516 S Peoria Ave, Tulsa, OK 74105 | 2018-09-12 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1164930723 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 5840 N Classen Blvd, Oklahoma City, OK 73118-1211 | 2018-01-17 |
| 1316464407 | Jand Inc. | Eyewear Supplier (Equipment, not the service) | 3 Nw 9th St, Oklahoma City, OK 73102-5806 | 2017-08-29 |
| 1740735125 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 705 Sw 19th St, Ste 160, Moore, OK 73160-3049 | 2016-08-16 |
| 1548647159 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 10220 S. Memorial Drive, Tulsa, OK 74133 | 2015-05-04 |
| 1649667304 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 3360 N Ave, Bldg. 685, Tinker Afb, OK 73145-9028 | 2015-04-21 |
| Find all providers with the same taxonomy | ||||
| City | MIDWEST CITY |
| Zip Code | 73110 |
Please comment or provide details below to improve the information on SAM'S EAST, INC..
| 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.