Sams East INC
Eyewear Supplier (Equipment, not the service) in Covington, LA. Organization (NPI-2).
NPI number1043560352
StatusActive
Last updated in NPPESSep 13, 2012
Details
- NPI
- 1043560352
- Entity type
- Organization (NPI-2)
- Legal business name
- Sams East INC
- Organization subpart
- Yes
- Enumeration date
- Sep 13, 2012
- Last updated
- Sep 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
| 156FX1800X | Technician/Technologist, Optician | – | – |
Other names
- Sams Club Vision Center 30-4874 (Doing Business As)
Practice location
69630 Stirling BlvdCovington, LA 70433-4620
Phone 985-327-6258
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Authorized official
Dianna Painter
Enrollment Specialist
4792771238
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