SAM'S EAST, INC. (NPI# 1902299746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902299746 |
| Entity Type | Organization |
| Organization Name | SAM'S EAST, INC. |
| Other Organization Name | SAM'S VISION CENTER 30-8189 |
| Practice Address |
200 Emily Dr Clarksburg WV 26301-5500 |
| Mailing Address |
702 Sw 8th St Ms 0445 Bentonville AR 72716-6209 |
| Practice Telephone | 4792772500 |
| Mailing Telephone | 4792772500 |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |
| 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 Vision Center 30-8189 | 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 |
| Street Address |
200 EMILY DR |
| City | CLARKSBURG |
| State | WV |
| Zip Code | 26301-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316330624 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 200 Emily Dr, Clarksburg, WV 26301-5500 | 2015-03-11 |
| 1669089090 | Patrick Moore | Pharmacist | 200 Emily Dr, Clarksburg, WV 26301-5500 | 2020-09-29 |
| 1912517368 | Mary Elliott | Pharmacist | 200 Emily Dr, Clarksburg, WV 26301-5500 | 2020-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539525 | Christina Burnside | Technician | 89 Green Acres, Clarksburg, WV 26301 | 2020-08-18 |
| 1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
| 1003241936 | Jennifer Destito | Occupational Therapist | 308 E B Saunders Way, Clarksburg, WV 26301 | 2013-09-11 |
| 1215290481 | Dustin James Getz | Dentist | 200 Route 98 Medwood Plaza, Suite 302, Nutter Fort, WV 26301 | 2012-06-21 |
| 1326339987 | Debra Amos | Counselor | 200 Route 98, Nutter Fort, WV 26301 | 2011-04-29 |
| 1649572140 | Amanda Wilfong | Pharmacist | W Pike and Smith St, Clarksburg, WV 26301 | 2010-12-03 |
| 1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
| 1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
| 1659521862 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 538 Emily Dr., Space 20, Clarksburg, WV 26301 | 2008-09-24 |
| 1477715753 | Roxanna L Rinehart | Registered Nurse | 1 Med Ctr Dr, Louis A Johnson Vamc, Clarksburg, WV 26301 | 2008-06-27 |
| Find all providers in zip 26301 | ||||
| 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 |
|---|---|---|---|---|
| 1295133361 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 536 Emily Dr, Clarksburg, WV 26301-5507 | 2014-12-05 |
| 1558302489 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 550 Emily Dr, Clarksburg, WV 26301-5508 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871072066 | Blink, Inc. | Eyewear Supplier (Equipment, not the service) | 3942 David Stuart Road, Suite 1, Ronceverte, WV 24970 | 2018-08-09 |
| 1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
| 1639573264 | Moore Vision Center, Pllc | Eyewear Supplier (Equipment, not the service) | 467 Main St Ste 401, Madison, WV 25130-2200 | 2014-10-10 |
| 1255755203 | Dove Eye | Eyewear Supplier (Equipment, not the service) | 120 Medical Park Dr Ste 103, Bridgeport, WV 26330-9013 | 2014-02-11 |
| 1770918443 | Field of Vision Optical Center | Eyewear Supplier (Equipment, not the service) | 10565 Veterans Memorial Hwy, Masontown, WV 26542-9577 | 2013-09-12 |
| 1871837757 | In Focus Optical | Eyewear Supplier (Equipment, not the service) | 1306 Kanawha Blvd East, Charleston, WV 25301-0301 | 2012-11-16 |
| 1679886154 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 100 Crossroads Mall, Mt Hope, WV 25880-9668 | 2010-07-26 |
| 1063738151 | Eyemart Express | Eyewear Supplier (Equipment, not the service) | 2010 Thundering Herd Dr, Barboursville, WV 25504-2601 | 2010-04-14 |
| 1477885804 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | Mercer Mall Rte460, Mercer Mall Ste #740, Bluefield, WV 24701 | 2010-02-10 |
| 1669637179 | Ranson Optical Center | Eyewear Supplier (Equipment, not the service) | 217 Oak Lee Dr Ste 12b, Ranson, WV 25438-4866 | 2008-07-23 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSBURG |
| Zip Code | 26301 |
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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.