SAM'S EAST INC NPI 1700265642

NPI Information

SAM'S EAST, INC is an eyewear supplier in Jefferson City, MO. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. SAM'S EAST, INC NPI is 1700265642. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Sam's Club Vision Center 30-6505.

The provider's business location address is:

849 STONERIDGE PKWY
JEFFERSON CITY, MO
ZIP 65109-034
Phone: (479) 204-8550
Fax: (479) 277-4331

The provider's authorized official is Laura Levine .
The authorized official title is Director and has the following contact phone number (479) 204-8550.

The CLIA number assigned to this NPI record is 26D2126436 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2015 and was last updated on 5/26/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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