SAM'S CLUB OPTICAL 30-4828
NPI 1104374420
Eyewear Supplier in Orlando, FL

Active since September 15, 2016
11920 NARCOOSSEE RD, ORLANDO, FL 32832(407) 204-8622(407) 816-8164 Get Directions Write a Review

NPPES record last updated: January 4, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 4, 2017, Sep 15, 2016 (2 updates tracked since 2016).

About Sam's Club Optical 30-4828 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAM'S CLUB OPTICAL 30-4828 (NPI 1104374420) is a healthcare organization registered as an eyewear supplier in Orlando, Florida and active in the NPI registry since September 2016. The organization lists Laura Levine, Dir Healthcare Contract & Enroll, as its authorized official.

NPPES Registry Identity

NPI1104374420
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSAM'S EAST, INC.
Location Address11920 NARCOOSSEE RDOrlando, FL 32832-0000
Mailing Address702 Sw 8th St, Ms 0445Bentonville, AR 72716-0445 · (479) 204-8550 · Fax (479) 277-4331
Fax(407) 816-8164
Organization SubpartYesParent: Wal-mart Stores, Inc.
Authorized OfficialLaura LevineDir Healthcare Contract & Enroll · (479) 204-8550
Enumeration DateSeptember 15, 2016
Last NPPES UpdateJanuary 4, 20172 updates tracked since enumeration
NPI 1104374420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X
11920 NARCOOSSEE RD, Orlando, FL 32832

Other Names 1

Doing Business AsSam's Club Optical 30-4828

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
11920 NARCOOSSEE RD
ORLANDO, FL 32832
Optometrist
11920 NARCOOSSEE RD
ORLANDO, FL 32832
Pharmacist
11920 NARCOOSSEE RD
ORLANDO, FL 32832
Pharmacy (Community/Retail Pharmacy)
11920 NARCOOSSEE RD
ORLANDO, FL 32832
Pharmacist
11920 NARCOOSSEE RD
ORLANDO, FL 32832
Pharmacist
11920 NARCOOSSEE RD
ORLANDO, FL 32832

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sam's East, Inc.'s NPI number?

The NPI number for Sam's East, Inc. is 1104374420. It was assigned to this organization in the NPPES registry on September 15, 2016. The provider is doing business as Sam's Club Optical 30-4828.

Where is Sam's East, Inc. located?

Sam's East, Inc. is located at 11920 Narcoossee Rd, Orlando, FL 32832. The listed phone number is (407) 204-8622.

What is Sam's East, Inc.'s specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

What insurance does Sam's East, Inc. accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Sam's East, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sam's East, Inc. was last updated on January 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.