SAM'S EAST, INC. (NPI# 1194251876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194251876 |
| Entity Type | Organization |
| Organization Name | SAM'S EAST, INC. |
| Other Organization Name | SAM'S OPTICAL CENTER 30-4855 |
| Practice Address |
261 Wilson Ave Hanover PA 17331 |
| Mailing Address |
702 Sw 8th St Mailstop 0445 Bentonville AR 72716-0445 |
| Practice Telephone | 4792772500 |
| Practice Fax Number | 4792774331 |
| Mailing Telephone | 4792772500 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |
| Authorized Official Name | SARAH C LITTLE (DIR HEALTHCARE CONTRACT & ENROLL) |
| Authorized Official Telephone | 4792772500 |
| 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 Optical Center 30-4855 | 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 |
| 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 |
| 1255958567 | Sam's East, Inc. | Technician/Technologist | 6521 Se 29th St, Midwest City, OK 73110-3001 | 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 |
261 WILSON AVE |
| City | HANOVER |
| State | PA |
| Zip Code | 17331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639776 | Matthew Wayne Veli | Pharmacist | 261 Wilson Ave, Hanover, PA 17331-1400 | 2020-11-02 |
| 1396271086 | Sam's East, Inc. | Durable Medical Equipment & Medical Supplies | 261 Wilson Ave, Hanover, PA 17331 | 2017-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356977649 | Pinnacle Health Medical Services | Clinic/Center | 2201 Brunswick Drive, Suite 1100, Hanover, PA 17331 | 2020-03-18 |
| 1508421058 | National Vision Inc | Optometrist | 477 Eisenhower Drive, Hanover, PA 17331 | 2019-05-09 |
| 1225599830 | Tawney Nicole Angeloff | Registered Nurse | 1227 Baltimore Street, Hanover, PA 17331 | 2019-03-27 |
| 1851865000 | Hanh Pham-nguyen | Pharmacist | 260 Wilson Ave, Hanover, PA 17331 | 2019-01-21 |
| 1346697794 | Pinnacle Treatment Centers Pa-vii, LLC | Clinic/Center | 120 Penn Street, Hanover, PA 17331 | 2016-05-16 |
| 1073914073 | Luana Robinson | Counselor | 36 Wappler Drive, Hanover, PA 17331 | 2014-09-09 |
| 1225467350 | Jennifer Marie Sherde | Specialist/Technologist | 250 Fame Avenue, Suite 100, Medical Fitness Center-hanover Hospital, Hanover, PA 17331 | 2013-11-08 |
| 1194078089 | Robyn Michelle Hess | Physician Assistant | 100 Eisenhower Dr, Hanover, PA 17331 | 2012-10-17 |
| 1134408453 | Heather L Hillson | Pharmacist | 31 Wilson Ave., T2567, Hanover, PA 17331 | 2011-08-04 |
| 1275811028 | Victoria Topper | Physician Assistant | 470 Eisenhower Drive, Hanover, PA 17331 | 2011-07-28 |
| Find all providers in zip 17331 | ||||
| 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 |
|---|---|---|---|---|
| 1326316415 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 101 Wilson Ave. Suite D, Hanover, PA 17331-1469 | 2011-12-05 |
| 1346369840 | Rp Optics, Inc. | Eyewear Supplier (Equipment, not the service) | 1440 Baltimore St, Hanover, PA 17331-8530 | 2007-03-28 |
| 1033290564 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 7000 Arundel Mills Circle, Space 229, Hanover, MD 21076 | 2006-10-18 |
| 1154368561 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 495 Eisenhower Dr, Hanover, PA 17331-5215 | 2006-06-02 |
| 1336533603 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 7077 Arundel Mills Cir, Hanover, MD 21076-1387 | 2015-03-25 |
| 1164746566 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 1775 Washington St, Hanover Mall, Hanover, MA 02339-1701 | 2010-03-15 |
| 1225367451 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 1155 Carlisle St, North Hanover Mall Ste #20, Hanover, PA 17331-1200 | 2009-12-17 |
| 1538357520 | Robo Inc. | Eyewear Supplier (Equipment, not the service) | 53 S Main St, Hanover, NH 03755-2022 | 2007-10-04 |
| 1912064445 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1775 Washington St, Hanover Mall, Hanover, MA 02339-1701 | 2007-01-03 |
| 1477619468 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1155 Carlisle St, Hanover Mall, Hanover, PA 17331-1200 | 2006-12-28 |
| Find all providers in HANOVER | ||||
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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.