Organization
SAM'S EAST, INC.
Active
Other names
Sam's Optical Center 30-7189
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SR DIRECTOR)
(480) 853-0515
Entity
Organization
Contact information
Practice address
4101 N MAY AVE, OKLAHOMA CITY, OK 73112-6239
(479) 204-1258
Mailing address
4101 N MAY AVE, OKLAHOMA CITY, OK 73112-6239
(405) 200-0388
(405) 942-0680
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
06/15/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up