SAM'S OPTICAL CENTER 30-8117
NPI 1205472271
Eyewear Supplier in Oklahoma City, OK

Active since November 25, 2019
1900 W MEMORIAL RD, OKLAHOMA CITY, OK 73134(479) 204-1258 Get Directions Write a Review

NPPES record last updated: January 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 9, 2020, Nov 25, 2019 (2 updates tracked since 2019).

About Sam's Optical Center 30-8117 NPPES

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

SAM'S OPTICAL CENTER 30-8117 (NPI 1205472271) is a healthcare organization registered as an eyewear supplier in Oklahoma City, Oklahoma and active in the NPI registry since November 2019. The organization lists Sarah Little, Director Of Health Care Contracting, as its authorized official.

NPPES Registry Identity

NPI1205472271
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSAM'S EAST, INC.
Location Address1900 W MEMORIAL RDOklahoma City, OK 73134-6504
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 204-1258 · Fax (479) 277-4331
Organization SubpartNo
Authorized OfficialSarah LittleDirector Of Health Care Contracting · (479) 277-2500
Enumeration DateNovember 25, 2019
Last NPPES UpdateJanuary 9, 20202 updates tracked since enumeration
NPI 1205472271 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
1900 W MEMORIAL RD, Oklahoma City, OK 73134

Other Names 1

Doing Business AsSam's Optical Center 30-8117

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

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Sam's Optical Oklahoma City carries, from the Medicare DMEPOS supplier directory.

Sam's Optical Oklahoma City

DMEPOS supplier · Oklahoma City, OK

Does not accept Medicare assignment

Sam's Optical Oklahoma City has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20552525
Medicare Participant SinceMarch 23, 2009
Supplier Location500 W I-240 Service RdOklahoma City, OK 73139
Supplier Specialties
Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 5

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

Pharmacist
1900 W MEMORIAL RD
OKLAHOMA CITY, OK 73134
Audiologist-Hearing Aid Fitter
1900 W MEMORIAL RD
OKLAHOMA CITY, OK 73134
Pharmacy (Community/Retail Pharmacy)
1900 W MEMORIAL RD
OKLAHOMA CITY, OK 73134
Hearing Instrument Specialist
1900 W MEMORIAL RD
OKLAHOMA CITY, OK 73134
Pharmacist
1900 W MEMORIAL RD
OKLAHOMA CITY, OK 73134

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 1205472271. It was assigned to this organization in the NPPES registry on November 25, 2019. The provider is doing business as Sam's Optical Center 30-8117.

Where is Sam's East, Inc. located?

Sam's East, Inc. is located at 1900 W Memorial Rd, Oklahoma City, OK 73134. The listed phone number is (479) 204-1258.

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

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

Does Sam's East, Inc. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Sam's Optical Oklahoma City does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Sam's East, Inc. was last updated on January 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.