Organization
SAM'S EAST, INC.
Active
Other names
Sam's Optical Center 30-6636
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (DIRECTOR OF HEALTH CARE CONTRACTING)
(480) 853-0515
Entity
Organization
Contact information
Practice address
3465 BERLIN TURN PIKE, NEWINGTON, CT 06111-5106
(860) 667-8809
Mailing address
1 CUSTOMER DR # MS 0445, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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