SAM'S EAST, INC (NPI# 1780097667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780097667 |
| Entity Type | Organization |
| Organization Name | SAM'S EAST, INC |
| Other Organization Name | SAM'S CLUB VISION CENTER 30-4109 |
| Practice Address |
2861 Beene Blvd Bossier City LA 71111-5575 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 3186066016 |
| Practice Fax Number | 3187421969 |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |
| Authorized Official Name | LAURA LEVINE (DIR GOV CONTRACTING & ENROLLMENT) |
| 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 30-4109 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| Oklahoma Business Registrations | SAM'S EAST, INC. | 702 Sw 8th St, Bentonville, AR 72716 |
| Street Address |
2861 BEENE BLVD |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-5575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629481353 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 2861 Beene Blvd, Bossier City, LA 71111-5575 | 2014-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| 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 |
|---|---|---|---|---|
| 1740387083 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 2950 E Texas, Bossier City, LA 71111 | 2006-09-20 |
| 1508876095 | Glasses Unlimited, Inc. | Eyewear Supplier (Equipment, not the service) | 3153 E Texas St, Bossier City, LA 71111-3209 | 2006-08-08 |
| 1396766341 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 2950 E Texas St, Bossier City, LA 71111-3265 | 2006-07-22 |
| 1154729101 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2915 E Texas St, Bossier City, LA 71111-3201 | 2014-12-08 |
| 1821215559 | Red River Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 2400 Hospital Dr, Suite 100, Bossier City, LA 71111-2385 | 2007-04-20 |
| 1346326741 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 2536 Airline Dr, Bossier City, LA 71111-5813 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295369817 | Allemond and Jelks LLC | Eyewear Supplier (Equipment, not the service) | 4263 Hwy 1 S, Port Allen, LA 70767-5824 | 2020-02-24 |
| 1891340899 | Joseph E Humble and Raymond Haik, Ptrs | Eyewear Supplier (Equipment, not the service) | 1801 Auburn Ave, Monroe, LA 71201-5005 | 2019-08-06 |
| 1154976157 | Joseph E Humble and Raymond Haik, Ptrs | Eyewear Supplier (Equipment, not the service) | 138 Christian Dr, Rayville, LA 71269-3645 | 2019-08-06 |
| 1639696818 | Jand Inc. | Eyewear Supplier (Equipment, not the service) | 3964 Magazine St, New Orleans, LA 70115-2664 | 2017-08-28 |
| 1447700240 | Jason Wonch, O.d. and Associates, A P.C. | Eyewear Supplier (Equipment, not the service) | 27306 Crossing Circle, Ste. 270, Denham Springs, LA 70726-5887 | 2016-10-05 |
| 1811446636 | Custom Optical N.o | Eyewear Supplier (Equipment, not the service) | 2416 Benefit St., New Orleans, LA 70122-4709 | 2016-09-22 |
| 1699139253 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 600 Town Center Pkwy # D600, Fremaux Town Center, Slidell, LA 70458-8006 | 2016-04-11 |
| 1407243181 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 455 Curtiss Rd, Bldg. 4711, Barksdale Afb, LA 71110-2423 | 2015-04-21 |
| 1932507928 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 4415 Amb Caffery Pkwy, Suite 119, Lafayette, LA 70508-6771 | 2014-12-08 |
| 1013344621 | Ochnser Health Center-eyecare Iberville | Eyewear Supplier (Equipment, not the service) | 25420 La Highway 1, Suite E, Plaquemine, LA 70764 | 2013-09-27 |
| Find all providers with the same taxonomy | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
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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.