SAM'S EAST, INC (NPI# 1700265642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700265642 |
| Entity Type | Organization |
| Organization Name | SAM'S EAST, INC |
| Other Organization Name | SAM'S CLUB VISION CENTER 30-6505 |
| Practice Address |
849 Stoneridge Pkwy Jefferson City MO 65109-5034 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 4792048550 |
| Practice Fax Number | 4792774331 |
| Mailing Telephone | 4792048550 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |
| 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 30-6505 | 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 |
| 1477947869 | Sam's East, Inc | Technician/Technologist | 4150 Belt Line Rd, Addison, TX 75001 | 2015-03-24 |
| 1245624071 | Sam's East, Inc | Technician/Technologist | 1177 Sams St, Cookeville, TN 38506-4007 | 2015-03-18 |
| 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 |
| Street Address |
849 STONERIDGE PKWY |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-5034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134514391 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 849 Stoneridge Pkwy, Jefferson City, MO 65109-5034 | 2015-04-03 |
| 1578005823 | Stefanie Weber | Pharmacist | 849 Stoneridge Pkwy, Jefferson City, MO 65109-5034 | 2016-11-16 |
| 1730537630 | Cory Myren | Audiologist | 849 Stoneridge Pkwy, Jefferson City, MO 65109 | 2016-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| 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 |
|---|---|---|---|---|
| 1942842208 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2111 Missouri Blvd, Jefferson City, MO 65109-4773 | 2019-10-08 |
| 1861527699 | Becvar Optometry, LLC | Eyewear Supplier (Equipment, not the service) | 823 Eastland Dr, Jefferson City, MO 65101-3893 | 2007-02-22 |
| 1861626772 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 401 Supercenter Dr, Jefferson City, MO 65101-8190 | 2009-05-06 |
| 1679748149 | Harold E. Morrill, Jr., O. D. | Eyewear Supplier (Equipment, not the service) | 741 E Broadway Blvd, Jefferson City, TN 37760-4907 | 2008-04-25 |
| 1770637894 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3600 Country Club Dr, Capital Mall Ste #424, Jefferson City, MO 65109-1060 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1306346630 | Murphy Watson Burr Eye Center Inc | Eyewear Supplier (Equipment, not the service) | 707 N 36th St Ste A, Saint Joseph, MO 64506-3080 | 2018-02-13 |
| 1467965830 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 304 N Euclid Ave, Saint Louis, MO 63108-1210 | 2017-11-08 |
| 1942727037 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 307 Nichols Rd, Kansas City, MO 64112-1526 | 2017-08-29 |
| 1619408291 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1600 Nw 88th St, Kansas City, MO 64155 | 2017-03-24 |
| 1033660279 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 8505 North Church Road, Kansas City, MO 64157-0000 | 2016-10-24 |
| 1659829505 | Eyedeology Vision Center LLC | Eyewear Supplier (Equipment, not the service) | 3629 N Lindbergh Blvd, Saint Ann, MO 63074-2106 | 2016-09-20 |
| 1477009397 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 80 West County Center, St. Louis, MO 63131-3701 | 2016-08-31 |
| 1851847396 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 12597 Olive Blvd., Creve Coeur, MO 63141-6311 | 2016-08-25 |
| 1205293404 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 908 N Belt Hwy, Saint Joseph, MO 64506-3013 | 2016-01-20 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
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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.