Provider Type Icon

SAMS EAST INC NPI 1114277597


NPI Information

NPI: 1114277597
Provider Name: SAMS EAST INC

Doing Business As: SAMS CLUB OPTICAL 30-8169

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

CLIA Number: 15D2133249

Address:
3819 STATE ROAD 26 E
LAFAYETTE, IN
ZIP 47905
Phone: (765) 449-4309
Get Directions

SAMS EAST INC is an eyewear supplier in Lafayette, IN. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. SAMS EAST INC NPI is 1114277597. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Sams Club Optical 30-8169.

The provider's business location address is:

3819 STATE ROAD 26 E
LAFAYETTE, IN
ZIP 47905-872
Phone: (765) 449-4309

The provider's authorized official is Dianna Painter .
The authorized official title is Enrollment Specialist and has the following contact phone number (479) 277-1238.

The CLIA number assigned to this NPI record is 15D2133249 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2012 and was last updated on 9/13/2012.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1156FX1800XTechnician/TechnologistOpticianNo
2332H00000XEyewear SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.