Organization · Type 2 NPI

Sam's East Inc

Eyewear Supplier · Riverview, FL

NPI number 1902102411 Active

Practice location

Hwy 301 & Big Bend
Riverview, FL 33578

Call (813) 371-6772 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 Riverview

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NPI record

NPI: 1902102411
Entity type: Organization (Type 2)
Issued: Jan 31, 2011
Last updated: Jan 31, 2011
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

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Sam's Club Optical 30-4801 · 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 1902102411

Sam's East Inc's National Provider Identifier is 1902102411, issued on Jan 31, 2011. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Riverview, FL. The record was last updated on Jan 31, 2011.