Organization
SAM'S EAST, INC.
Active
Other names
Sam's Optical Center 30-6342
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTH CARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
6922 S MINGO RD, TULSA, OK 74133-3216
(918) 252-9503
(918) 294-9300
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 204-1258
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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