Organization
SAM'S EAST, INC.
Active
Other names
Sam's Optical Center 30-8236
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR, HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
10431 OLD HIGHWAY 49, GULFPORT, MS 39503-4118
(228) 832-4441
(228) 832-5536
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 204-1258
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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