Organization · Type 2 NPI

Sam's East, Inc.

Eyewear Supplier · Keller, TX

NPI number 1962940361 Active

Practice location

201 Golden Triangle Blvd
Keller, TX 76248-4484

Call (817) 898-6160 Map

Fax (817) 379-4310

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.

6 other providers at this address

NPI record

NPI: 1962940361
Entity type: Organization (Type 2)
Issued: Feb 6, 2017
Last updated: Feb 6, 2017
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc.

Other names

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Sam's Optical Center 30-6781 · doing business as

Authorized official

Laura Levine
Dir Healthcare Contract&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 1962940361

Sam's East, Inc.'s National Provider Identifier is 1962940361, issued on Feb 6, 2017. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Keller, TX. The record was last updated on Feb 6, 2017.