Organization · Type 2 NPI

Sam's East, Inc

Eyewear Supplier · Mooresville, NC

NPI number 1285063214 Active

Practice location

646 River Hwy
Mooresville, NC 28117-9055

Call (704) 360-6037 Map

Fax (704) 660-3172

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.

3 other providers at this address

Other eyewear supplier providers in Mooresville

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NPI record

NPI: 1285063214
Entity type: Organization (Type 2)
Issued: Nov 12, 2013
Last updated: Dec 19, 2013
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc

Other names

<unavail>
Sam's Club Vision Center 30-4917 · doing business as

Authorized official

Laura Levine
Manager of Government Contracting
(479) 204-8550

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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 1285063214

Sam's East, Inc's National Provider Identifier is 1285063214, issued on Nov 12, 2013. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Mooresville, NC. The record was last updated on Dec 19, 2013.