Organization · Type 2 NPI

Sam's East, Inc.

Eyewear Supplier · Hanover, PA

NPI number 1194251876 Active

Practice location

261 Wilson Ave
Hanover, PA 17331

Call (479) 277-2500 Map

Fax (479) 277-4331

Mailing address

702 SW 8th St, Mailstop 0445
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.

4 other providers at this address

Other eyewear supplier providers in Hanover

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NPI record

NPI: 1194251876
Entity type: Organization (Type 2)
Issued: May 2, 2017
Last updated: May 2, 2017
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc.

Other names

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Sam's Optical Center 30-4855 · doing business as

Authorized official

Sarah C Little
Dir Healthcare Contract & Enroll
(479) 277-2500

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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 1194251876

Sam's East, Inc.'s National Provider Identifier is 1194251876, issued on May 2, 2017. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Hanover, PA. The record was last updated on May 2, 2017.