Organization · Type 2 NPI

Sam's East, Inc

Eyewear Supplier · Kansas City, MO

NPI number 1477965200 Active

Practice location

8130 N Church Rd
Kansas City, MO 64158-1101

Call (816) 439-4017 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.

6 other providers at this address

Other eyewear supplier providers in Kansas City

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NPI record

NPI: 1477965200
Entity type: Organization (Type 2)
Issued: May 28, 2014
Last updated: May 28, 2014
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc

Other names

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Sam's Club Vision Center 30-6247 · doing business as

Authorized official

Laura Levine
Dir Healthcare Contr. & Enrollment
(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 1477965200

Sam's East, Inc's National Provider Identifier is 1477965200, issued on May 28, 2014. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Kansas City, MO. The record was last updated on May 28, 2014.