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NPI Code Detail

MEDICARE: SAMS EAST INC

MEDICARE: SAMS EAST INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1800XOptician
2332H00000XEyewear Supplier

General Provider Information

NPI Number : 1487909834
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAMS EAST INC
Provider Business Mailing Address
First Line : 702 SW 8TH ST
Second Line :
City : BENTONVILLE
State : AR
Zip : 72716-0445
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15800 SOUTH FWY
Second Line :
City : PEARLAND
State : TX
Zip : 77584-1834
Country : US
Telephone Number : 713-986-0084
Fax Number :
Authorized Official
Title or Position : ENROLLMENT SPECIALIST
Name : DIANNA PAINTER
Credential :
Telephone Number : 479-277-1238
Provider Enumeration Date : 07/20/2012
Last Update Date : 07/20/2012

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Directions to “SAMS EAST INC ” Practice Location

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