SAM'S EAST, INC. (NPI# 1538705595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538705595 |
| Entity Type | Organization |
| Organization Name | SAM'S EAST, INC. |
| Other Organization Name | SAM'S OPTICAL CENTER 30-6267 |
| Practice Address |
1117 W I 35 Frontage Rd Edmond OK 73034-7398 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 4792041258 |
| Practice Fax Number | 4792774331 |
| Mailing Telephone | 4792041258 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2020-01-09 |
| Authorized Official Name | SARAH LITTLE (DIRECTOR OF HEALTH CARE CONTRACTING) |
| Authorized Official Telephone | 4792772500 |
| Is Organization Subpart | N |
| 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 30-6267 | Doing Business As Name - Organization |
| Sam's Vision Center 30-6267 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
1117 W I 35 FRONTAGE RD |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-7398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739970 | Ha Le Tran | Pharmacist | 1117 W I 35 Frontage Rd, Edmond, OK 73034-7398 | 2020-10-30 |
| 1972103299 | Donovan Fuller | Pharmacist | 1117 W I 35 Frontage Rd, Edmond, OK 73034-7398 | 2020-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| 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 |
|---|---|---|---|---|
| 1144425828 | Dean Mcgee Eye Institute | Eyewear Supplier (Equipment, not the service) | 1005 Medical Park Blvd, Edmond, OK 73013-3025 | 2007-06-20 |
| 1760710776 | Michael B. Grindstaff, O.d., P.C. | Eyewear Supplier (Equipment, not the service) | 1482 S Bryant Ave, Edmond, OK 73034-5752 | 2009-12-02 |
| 1730353897 | Dr. Larry L. Olsen, O.d. | Eyewear Supplier (Equipment, not the service) | 501 E 15th St, Ste 101, Edmond, OK 73013-5043 | 2008-04-18 |
| 1790962348 | Olsen Vision Care, P.C. | Eyewear Supplier (Equipment, not the service) | 501 E 15th St, Ste 101, Edmond, OK 73013-5043 | 2008-01-25 |
| 1003022773 | Edmond Optical Shop, Inc. | Eyewear Supplier (Equipment, not the service) | 920 S Bryant Ave, Suite 101, Edmond, OK 73034-5797 | 2007-05-16 |
| 1750480513 | Todd E. Wright, Od, PC | Eyewear Supplier (Equipment, not the service) | 185 Stonebridge Blvd, Edmond, OK 73013-4639 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172670 | Total Vision Care LLC | Eyewear Supplier (Equipment, not the service) | 10001 S Western Ave Ste 200, Oklahoma City, OK 73139-2997 | 2020-10-21 |
| 1932755733 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1932 N Perkins Rd, Stillwater, OK 74075-2978 | 2019-08-16 |
| 1396303855 | Nu Eyes of Florida Inc. | Eyewear Supplier (Equipment, not the service) | 1705 N 18th St, Broken Arrow, OK 74012-9357 | 2019-05-30 |
| 1265915631 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3516 S Peoria Ave, Tulsa, OK 74105 | 2018-09-12 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1164930723 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 5840 N Classen Blvd, Oklahoma City, OK 73118-1211 | 2018-01-17 |
| 1316464407 | Jand Inc. | Eyewear Supplier (Equipment, not the service) | 3 Nw 9th St, Oklahoma City, OK 73102-5806 | 2017-08-29 |
| 1740735125 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 705 Sw 19th St, Ste 160, Moore, OK 73160-3049 | 2016-08-16 |
| 1548647159 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 10220 S. Memorial Drive, Tulsa, OK 74133 | 2015-05-04 |
| 1649667304 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 3360 N Ave, Bldg. 685, Tinker Afb, OK 73145-9028 | 2015-04-21 |
| 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.