SAMS EAST INC (NPI# 1063791721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063791721 |
| Entity Type | Organization |
| Organization Name | SAMS EAST INC |
| Other Organization Name | SAM'S CLUB OPTICAL 30-6422 |
| Practice Address |
3310 N 4th St Longview TX 75605-7954 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 9036635588 |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |
| 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 |
|---|---|
| Sam's Club Optical 30-6422 | 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 |
3310 N 4TH ST |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-7954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| 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 |
|---|---|---|---|---|
| 1336417690 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Mccann Rd, Suite #f-1, Longview, TX 75601-1616 | 2011-12-01 |
| 1447370739 | Gary G Deckelboim Md Pa | Eyewear Supplier (Equipment, not the service) | 330 E Loop 281, Longview, TX 75605-7912 | 2007-03-30 |
| 1649367947 | Eyemasters of Texas Ltd | Eyewear Supplier (Equipment, not the service) | 3500 Mccann Road, Ste F1, Longview, TX 75605 | 2006-10-06 |
| 1184140105 | Charles L. Heaton, M.d. P.a. | Eyewear Supplier (Equipment, not the service) | 2394 H G Mosley Pkwy, Longview, TX 75604-3661 | 2017-08-22 |
| 1467850404 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 307 W Loop 281, Suite 2, Longview, TX 75605-4442 | 2014-12-08 |
| 1669701595 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 3510 Mccann Rd, Longview Mall, Longview, TX 75605-4420 | 2009-12-24 |
| 1649336587 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3510 Mccann Rd, Longview Mall, Longview, TX 75605-4420 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961096 | Eyetopia Optics, LLC | Eyewear Supplier (Equipment, not the service) | 1387 Sattler Rd, New Braunfels, TX 78132-2305 | 2020-08-07 |
| 1407481971 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 5621 N Ih 35, Austin, TX 78723-2431 | 2020-03-05 |
| 1427682657 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 800 Town and Country Blvd Ste 110, Houston, TX 77024-4553 | 2020-02-26 |
| 1275163768 | Charles Kang | Eyewear Supplier (Equipment, not the service) | 2401 S Stemmons Fwy Ste 1130, Lewisville, TX 75067-2306 | 2020-01-23 |
| 1912547175 | Emx Eye Care Management | Eyewear Supplier (Equipment, not the service) | 138 Senlac Drive, Suite 200, Farmers Branch, TX 75234 | 2020-01-15 |
| 1831752260 | The Eyeglass Repair Guys LLC | Eyewear Supplier (Equipment, not the service) | 2825 N Main St Ste 300, Stafford, TX 77477-5565 | 2019-04-22 |
| 1255893947 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 14791 Ih 35 N Ste 108, Selma, TX 78154-3464 | 2019-04-02 |
| 1619431681 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4078 Westheimer Rd, Houston, TX 77027-5008 | 2019-01-24 |
| 1790253243 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 8815 Memorial Blvd Suite A, Port Arthur, TX 77640-1862 | 2018-11-02 |
| 1952884322 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 2518 University Blvd, Houston, TX 77005 | 2018-09-12 |
| Find all providers with the same taxonomy | ||||
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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.