SAM'S EAST, INC. (NPI# 1093056939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093056939 |
| Entity Type | Organization |
| Organization Name | SAM'S EAST, INC. |
| Other Organization Name | SAM'S VISION CENTER 30-4871 |
| Practice Address |
715 Bonita Dr Meridian MS 39301-4603 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 6012866016 |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2013-03-06 |
| Authorized Official Name | AMY POWERS (SPECIALIST, PLAN ENROLLMENT) |
| Authorized Official Telephone | 4792040709 |
| 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 Vision Center 30-4871 | 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 |
715 BONITA DR |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-4603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316287998 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 715 Bonita Dr, Meridian, MS 39301-4603 | 2013-02-19 |
| 1114528452 | Sarah Robinson Welch | Pharmacist | 715 Bonita Dr, Meridian, MS 39301-4603 | 2020-11-03 |
| 1811597834 | Sherri Browning Watkins | Pharmacist | 715 Bonita Dr, Meridian, MS 39301-4603 | 2020-10-28 |
| 1407302581 | Tayler Alexandria Foe | Pharmacist | 715 Bonita Dr, Meridian, MS 39301-4603 | 2016-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| 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 |
|---|---|---|---|---|
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1518119585 | Evans Optical LLC | Eyewear Supplier (Equipment, not the service) | 2024 15th St Ste 5d, Meridian, MS 39301-4130 | 2008-10-21 |
| 1891972048 | Ellis Optical Shoppe | Eyewear Supplier (Equipment, not the service) | 2302 12th St, Meridian, MS 39301-3933 | 2008-01-29 |
| 1891842175 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1000 Bonita Lakes Cir, Bonita Lakes Mall, Meridian, MS 39301-6972 | 2007-01-05 |
| 1669090106 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3403 W Chinden Blvd, Meridian, ID 83646-7151 | 2020-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265072292 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 700 Highland Colony Pkwy, Ridgeland, MS 39157-8701 | 2020-01-07 |
| 1811364698 | Precision Optical Dispensary, Inc | Eyewear Supplier (Equipment, not the service) | 4339 Lakeland Dr, Flowood, MS 39232-8947 | 2015-08-27 |
| 1427433200 | Mississippi Eyecare Associates of Byram, Pllc. | Eyewear Supplier (Equipment, not the service) | 7118b S Siwell Rd, Byram, MS 39272-8744 | 2015-07-22 |
| 1114325164 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 6351 I 55 N, Suite 115-a, Jackson, MS 39213-9720 | 2014-12-08 |
| 1033517016 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 15218a Crossroads Pkwy, Gulfport, MS 39503-3564 | 2014-12-08 |
| 1275960445 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 338 Goodman Rd W, Southhaven, MS 38671-9522 | 2013-10-03 |
| 1013256411 | Mississippi Eyecare Associates of Pearl, Pllc | Eyewear Supplier (Equipment, not the service) | 404 Riverwind Dr, Ste B1, Pearl, MS 39208-5900 | 2013-02-05 |
| 1760736409 | Finishing Edge Inc | Eyewear Supplier (Equipment, not the service) | 216 Joe Dear Rd, Harrisville, MS 39082-4024 | 2012-11-02 |
| 1245505825 | Mississippi Eye Care of Hazlehurst | Eyewear Supplier (Equipment, not the service) | 28063 Highway 28, Hazlehurst, MS 39083-2240 | 2012-03-15 |
| 1891003422 | Starkville Eye Clinic | Eyewear Supplier (Equipment, not the service) | 1085 Stark Rd, Suite C, Starkville, MS 39759-3682 | 2010-09-16 |
| 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.