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SAM'S CLUB VISION CENTER 30-4917
NPI 1285063214
Eyewear Supplier in Mooresville, NC

Active since November 12, 2013CLIA 34D2127278 · Waiver
646 RIVER HWY, MOORESVILLE, NC 28117(704) 360-6037(704) 660-3172 Get Directions Write a Review

NPPES record last updated: December 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sam's Club Vision Center 30-4917 NPPES

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

SAM'S CLUB VISION CENTER 30-4917 (NPI 1285063214) is a healthcare organization registered as an eyewear supplier in Mooresville, North Carolina and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through March 11, 2027 and lists Laura Levine, Manager Of Government Contracting, as its authorized official.

NPPES Registry Identity

NPI1285063214
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSAM'S EAST, INC
Location Address646 RIVER HWYMooresville, NC 28117-9055
Mailing Address702 Sw 8th StBentonville, AR 72716-0445
Phone(704) 360-6037
Fax(704) 660-3172
Organization SubpartYesParent: Wal-mart Stores, Inc
Authorized OfficialLaura LevineManager Of Government Contracting · (479) 204-8550
Enumeration DateNovember 12, 2013
Last NPPES UpdateDecember 19, 2013
✔ NPI 1285063214 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
646 RIVER HWY, Mooresville, NC 28117
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Other Names 1

Doing Business AsSam's Club Vision Center 30-4917

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2127278

Sam's East, Inc Dba Sam's Pharmacy 10-4917 · Mooresville, NC
Active · expires Mar 11, 2027
CLIA Number34D2127278
Laboratory TypePharmacy
Certificate Effective DateMarch 12, 2025
Certificate Expiration DateMarch 11, 2027
Laboratory DirectorMarcey Cring
Laboratory Phone(479) 258-6734
Laboratory LocationSam's East, Inc Dba Sam's Pharmacy 10-4917646 River Highway, Mooresville, NC 28117
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

SAMS EAST INC
Pharmacy (Community/Retail Pharmacy)
646 RIVER HWY
MOORESVILLE, NC 28117
Iredell County (704) 360-6033
MARCEY CRING
Pharmacist
646 RIVER HWY
MOORESVILLE, NC 28117
Iredell County (704) 360-6033
DANIEL CAPUTO R.PH.
Pharmacist
646 RIVER HWY
MOORESVILLE, NC 28117
Iredell County (704) 360-6033

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 1285063214. It was assigned to this organization in the NPPES registry on November 12, 2013. The provider is doing business as Sam's Club Vision Center 30-4917.

Where is Sam's East, Inc located?

Sam's East, Inc is located at 646 River Hwy, Mooresville, NC 28117. The listed phone number is (704) 360-6037.

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 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2127278) is associated with this NPI, valid through March 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 December 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.