SAM'S CROSSROADS OPTICAL (NPI# 1386814432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386814432 |
| Entity Type | Organization |
| Organization Name | SAM'S CROSSROADS OPTICAL |
| Other Organization Name | SAM'S OPTICAL |
| Practice Address |
1078 Crossroads Mall Ste D Oklahoma City OK 73149-4202 |
| Practice Telephone | 4056317558 |
| Mailing Telephone | 4056317558 |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-07 |
| Authorized Official Name | SAM J EDWARDS (OPTICAN) |
| Authorized Official Telephone | 4056317558 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Sam's Optical | Other Name - Individual/Organization |
| Street Address |
1078 CROSSROADS MALL STE D |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73149-4202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649747841 | Pharmacorr, LLC | Pharmacy | 7400 Plaza Mayor Blvd, Ste 100, Oklahoma City, OK 73149 | 2018-10-26 |
| 1184910648 | Linda J Ellis | Counselor | 108 Corona Drive, Oklahoma City, OK 73149 | 2011-06-23 |
| 1922252766 | Sam's Optical, Oklahoma City, LLC | Durable Medical Equipment & Medical Supplies | 1078d Crossroads Mall, Oklahoma City, OK 73149 | 2008-11-06 |
| 1013193655 | American Current Care P.a. | Clinic/Center | 7100 S I-35 Service Road, Suite 7, Oklahoma City, OK 73149 | 2008-01-14 |
| 1750401105 | Tiffany K. Loftis | Physical Therapist | 7100 South I-35 Service Rd, Suite 7, Oklahoma City, OK 73149 | 2007-03-30 |
| 1881711943 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 7100 S. I-35 Service Road, Suite 7, Oklahoma City, OK 73149 | 2007-03-23 |
| 1003146382 | Cleveland Nephrology, Pllc | Clinic/Center | 1059 Se 82nd, Oklahoma City, OK 73149 | 2010-01-08 |
| 1013935774 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 100 E I 240 Service Rd, Oklahoma City, OK 73149-1612 | 2006-07-18 |
| 1316548332 | Ilana Betuel Peiroo | Pharmacist | 100 E I 240 Service Rd, Oklahoma City, OK 73149-1612 | 2020-11-05 |
| 1508466087 | Rebecca Frye | Pharmacist | 100 E I 240 Service Rd, Oklahoma City, OK 73149-1612 | 2020-10-26 |
| Find all providers in zip 73149 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376064592 | Focus Optical Inc. | Technician/Technologist | 12444 Nw 10th St, Bldg H Ste 101, Oklahoma City, OK 73119 | 2017-06-28 |
| 1861639080 | Sam's Optical, Penn Square, LLC | Technician/Technologist | 1900 Nw Expressway Ste R1-114, Oklahoma City, OK 73118-1802 | 2009-01-09 |
| 1255530754 | Sam J Edwards Jr. | Technician/Technologist | 1078 Crossroads Mall Ste D, Oklahoma City, OK 73149-4202 | 2007-07-13 |
| 1396941712 | Ronald Lee Brazell | Technician/Technologist | 1900 Nw 39th St, Oklahoma City, OK 73118 | 2007-06-22 |
| 1861696379 | David Allen Trent | Technician/Technologist | 5631 N Pennsylvania Ave, Oklahoma City, OK 73112-7769 | 2007-06-11 |
| 1225135320 | Tom W. Wilkinson | Technician/Technologist | 1010 N Pennsylvania Ave, Oklahoma City, OK 73107-6412 | 2006-09-20 |
| 1306463617 | Sam's East, Inc. | Technician/Technologist | 5510 Sw 5th St, Oklahoma City, OK 73128-1216 | 2020-07-02 |
| 1407492465 | Sam's East, Inc. | Technician/Technologist | 4101 N May Ave, Oklahoma City, OK 73112-6239 | 2019-11-25 |
| 1205472271 | Sam's East, Inc. | Technician/Technologist | 1900 W Memorial Rd, Oklahoma City, OK 73134-6504 | 2019-11-25 |
| 1134765100 | Sam's East, Inc. | Technician/Technologist | 9000 Nw Passage, Oklahoma City, OK 73132-3414 | 2019-11-25 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73149 |
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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.