Organization · Type 2 NPI

Sam's East, Inc.

Eyewear Supplier · Clarksburg, WV

NPI number 1902299746 Active

Practice location

200 Emily Dr
Clarksburg, WV 26301-5500

Call (479) 277-2500 Map

Mailing address

702 SW 8th St, Ms 0445
Bentonville, AR 72716-6209

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.

5 other providers at this address

Other eyewear supplier providers in Clarksburg

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NPI record

NPI: 1902299746
Entity type: Organization (Type 2)
Issued: Mar 17, 2015
Last updated: Mar 17, 2015
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc.

Other names

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Sam's Vision Center 30-8189 · doing business as

Authorized official

Laura Levine
Dir Healthcare Contract & Enroll
(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 1902299746

Sam's East, Inc.'s National Provider Identifier is 1902299746, issued on Mar 17, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Clarksburg, WV. The record was last updated on Mar 17, 2015.