SAM'S OPTICAL, OKLAHOMA CITY, LLC (NPI# 1922252766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922252766 |
Entity Type | Organization |
Organization Name | SAM'S OPTICAL, OKLAHOMA CITY, LLC |
Practice Address |
1078d Crossroads Mall Oklahoma City OK 73149 |
Practice Telephone | 4056317560 |
Mailing Telephone | 4056317560 |
Enumeration Date | 2008-11-06 |
Last Update Date | 2008-11-06 |
Authorized Official Name | SHELLY BERTIN (OWNER) |
Authorized Official Telephone | 4056317560 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
Street Address |
1078D CROSSROADS MALL |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73149 |
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 |
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 |
1477172179 | James Morgan Ely | Pharmacist | 100 E I 240 Service Rd, Oklahoma City, OK 73149-1612 | 2020-04-13 |
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 |
1386814432 | Sam's Crossroads Optical | Technician/Technologist | 1078 Crossroads Mall, Ste D, Oklahoma City, OK 73149-4202 | 2008-03-05 |
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 |
Find all providers in OKLAHOMA CITY |
City | OKLAHOMA CITY |
Zip Code | 73149 |
Please comment or provide details below to improve the information on SAM'S OPTICAL, OKLAHOMA CITY, LLC.
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.