Organization · Type 2 NPI

Sams East Inc

Eyewear Supplier · Lafayette, IN

NPI number 1114277597 Active

Practice location

3819 State Road 26 E
Lafayette, IN 47905-4872

Call (765) 449-4309 Map

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Optician	156FX1800X	None listed
Eyewear Supplier Primary	332H00000X	None listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Other eyewear supplier providers in Lafayette

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NPI record

NPI: 1114277597
Entity type: Organization (Type 2)
Issued: Sep 13, 2012
Last updated: Sep 13, 2012
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

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Sams Club Optical 30-8169 · doing business as

Authorized official

Dianna Painter
Enrollment Specialist
(479) 277-1238

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114277597

Sams East Inc's National Provider Identifier is 1114277597, issued on Sep 13, 2012. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Lafayette, IN. The record was last updated on Sep 13, 2012.