SAM'S EAST, INC. (NPI# 1104374420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104374420 |
| Entity Type | Organization |
| Organization Name | SAM'S EAST, INC. |
| Other Organization Name | SAM'S CLUB OPTICAL 30-4828 |
| Practice Address |
11920 Narcoossee Rd Orlando FL 32832-0000 |
| Mailing Address |
702 Sw 8th St Ms 0445 Bentonville AR 72716-0445 |
| Practice Telephone | 4072048622 |
| Practice Fax Number | 4078168164 |
| Mailing Telephone | 4792048550 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2017-01-04 |
| Authorized Official Name | LAURA LEVINE (DIR HEALTHCARE CONTRACT & ENROLL) |
| 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 Optical 30-4828 | 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 |
| Oklahoma Business Registrations | SAM'S EAST, INC. | 702 Sw 8th St, Bentonville, AR 72716 |
| Street Address |
11920 NARCOOSSEE RD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32832-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740737899 | Sam's East, Inc. | Durable Medical Equipment & Medical Supplies | 11920 Narcoossee Rd, Orlando, FL 32832-0000 | 2016-09-07 |
| 1881294429 | Veronica Orengo-vazquez | Pharmacist | 11920 Narcoossee Rd, Orlando, FL 32832-6900 | 2020-10-30 |
| 1619577558 | Lucia Mercedes Curihuaman | Pharmacist | 11920 Narcoossee Rd, Orlando, FL 32832-6900 | 2020-10-29 |
| 1477099877 | Lake Nona Vision Inc | Optometrist | 11920 Narcoossee Rd, Orlando, FL 32832 | 2017-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482728 | Maria Belen Bengolea | Behavior Technician | 10920 Moss Park Rd. Suite 130, Orlando, FL 32832 | 2020-09-23 |
| 1942819495 | Oasis Counseling Services | Community/Behavioral Health | 11954 Narcoossee Rd., Ste 2 #278, Orlando, FL 32832 | 2020-07-29 |
| 1538628219 | Lake Nona Endodontics Pa | Dentist | 13571 Narcoossee Road, Orlando, FL 32832 | 2019-03-13 |
| 1235697707 | Pediatric Dental Group, LLC | Dentist | 12601 Narcoossee Rd, Unite 100a, Orlando, FL 32832 | 2019-03-04 |
| 1518451343 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 13072 Narcoossee Rd, Orlando, FL 32832 | 2018-06-15 |
| 1356834345 | Cachae Cierra Mason | Clinic/Center | 9412 Randal Park Blvd, Unit 6127, Orlando, FL 32832 | 2018-06-13 |
| 1598258832 | Magda Liliana Sanchez | Behavior Technician | 14046 Millington St, Orlando, FL 32832 | 2018-06-12 |
| 1982106423 | Grace-ann Lewis | Behavior Technician | 10920 Moss Park Road Suite 100, Orlando, FL 32832 | 2018-03-01 |
| 1427574151 | Nona Dentists, Pa | Dentist | 12711 Narcoossee Rd, Building B, Suite 100, Lake Nona, Orlando, FL 32832 | 2017-08-15 |
| 1578084281 | Crispus Nyambariga Ombui | Nurse Anesthetist, Certified Registered | 9452 Randal Park Blvd, Unit 2-2126, Orlando, FL 32832 | 2017-07-03 |
| Find all providers in zip 32832 | ||||
| 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 |
|---|---|---|---|---|
| 1518574912 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 12190 Lake Underhill Rd, Orlando, FL 32825-5012 | 2020-09-29 |
| 1811550106 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4200 Conroy Rd Ste B166, Orlando, FL 32839-2400 | 2019-04-22 |
| 1164846911 | Pablo Rosemberg LLC | Eyewear Supplier (Equipment, not the service) | 5447 International Dr, Orlando, FL 32819-8567 | 2014-02-14 |
| 1083964027 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 4673 Millenia Plaza Way, Orlando, FL 32839-2433 | 2012-09-18 |
| 1982981700 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 8001 S Orange Blossom Trl Ste 1312, Orlando, FL 32809-7695 | 2011-11-08 |
| 1114196177 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 5991 New Goldenrod Road, Orlando, FL 32822 | 2008-02-25 |
| 1992983225 | Eyeglass World #95 | Eyewear Supplier (Equipment, not the service) | 8236 Lee Vista Blvd, Suite A4 - A6, Orlando, FL 32829 | 2008-02-08 |
| 1619017274 | For Eyes Optical of Coconut Grove | Eyewear Supplier (Equipment, not the service) | 5201 Raymond St Rm 1209b, Orlando, FL 32803-8208 | 2007-02-06 |
| 1093860801 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 330 N. Alafaya Trail, Orlando, FL 32828 | 2007-01-24 |
| 1982759312 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 4697 Millenia Plaza Way, Orlando, FL 32839 | 2007-01-24 |
| Find all providers in ORLANDO | ||||
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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.