Sam'S Club Vision Center 30-6505

LBN: Sam'S East, Inc
Sam'S Club Vision Center 30-6505 is an health care organization with primary practice located at 849 Stoneridge Pkwy , Jefferson City MO 65109-5034. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optician, Suppliers / Eyewear Supplier (Equipment, not the service). Suppliers / Eyewear Supplier (Equipment, not the service) is the primary health care specialty. Sam'S East, Inc can be contacted via phone (479) 204-8550, or through Levine, Laura via phone (479) 204-8550.

Contact Information

Primary practice address
849 Stoneridge Pkwy Jefferson City MO 65109-5034
Phone: (479) 204-8550
Fax: (479) 277-4331
Website:
Map and Directions
Authorized official contact:
Name: Levine, Laura
Phone: (479) 204-8550

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1700265642
LBN Legal business name Sam'S East, Inc
DBA Doing business as Sam'S Club Vision Center 30-6505
Authorized official Levine, Laura
Entity Organization
Organization subpart 1 Yes
Enumeration date May 26th, 2015
Last updated May 26th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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