SAMY OPTICAL LLC (NPI# 1194203877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194203877 |
| Entity Type | Organization |
| Organization Name | SAMY OPTICAL LLC |
| Other Organization Name | SITE FOR SORE EYES |
| Practice Address |
1350 Travis Blvd Unit 1507a Fairfield CA 94533-3440 |
| Practice Telephone | 7074212020 |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |
| Authorized Official Name | EFFAT DANIAL (OPTICIAN OWNER) |
| Authorized Official Telephone | 7074212020 |
| Is Organization Subpart | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| SITE FOR SORE EYES | Doing Business As Name - Organization |
| Street Address |
1350 TRAVIS BLVD UNIT 1507A |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-3440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| 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 |
|---|---|---|---|---|
| 1154872133 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1544 Travis Blvd, Fairfield, CA 94533-3427 | 2016-10-14 |
| 1528257623 | Fairfield Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 1876 Black Rock Turnpike, Fairfield, CT 06825 | 2007-10-15 |
| 1881767135 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 6550 Aaron Aranov Dr, Flintridge Centre, Fairfield, AL 35064-1823 | 2006-11-16 |
| 1407947237 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1420 Travis Blvd, Fairfield Sears, Fairfield, CA 94533-3425 | 2006-09-27 |
| 1063513463 | A & J Eyecare, Inc. | Eyewear Supplier (Equipment, not the service) | 1901 Black Rock Tpke, Fairfield, CT 06825-3506 | 2006-09-26 |
| 1285655498 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1330 Travis Blvd., Fairfield, CA 94533 | 2006-07-22 |
| 1285685537 | Opticare Eye Health Centers, Inc. | Eyewear Supplier (Equipment, not the service) | 1482 Post Rd, Fairfield, CT 06824-5911 | 2006-05-12 |
| 1467068056 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 40 Black Rock Tpke, Fairfield, CT 06825-5507 | 2020-09-18 |
| 1992195564 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 5101 Business Center Dr, Fairfield, CA 94534-1624 | 2015-02-03 |
| 1396069324 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 5482 Dixie Hwy, Jungle Jim's S/c, Fairfield, OH 45014-1845 | 2010-03-19 |
| Find all providers in FAIRFIELD | ||||
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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.