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SAM'S CLUB VISION CENTER 30-6505
NPI 1700265642
Eyewear Supplier in Jefferson City, MO

Active since May 26, 2015
849 STONERIDGE PKWY, JEFFERSON CITY, MO 65109(479) 204-8550(479) 277-4331 Get Directions Write a Review

NPPES record last updated: May 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sam's Club Vision Center 30-6505 NPPES

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

SAM'S CLUB VISION CENTER 30-6505 (NPI 1700265642) is a healthcare organization registered as an eyewear supplier in Jefferson City, Missouri and active in the NPI registry since May 2015. The organization lists Laura Levine, Director, as its authorized official.

NPPES Registry Identity

NPI1700265642
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSAM'S EAST, INC
Location Address849 STONERIDGE PKWYJefferson City, MO 65109-5034
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 204-8550 · Fax (479) 277-4331
Phone(479) 204-8550
Fax(479) 277-4331
Organization SubpartYesParent: Wal-mart Stores, Inc
Authorized OfficialLaura LevineDirector · (479) 204-8550
Enumeration DateMay 26, 2015
✔ NPI 1700265642 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
849 STONERIDGE PKWY, Jefferson City, MO 65109
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Other Names 1

Doing Business AsSam's Club Vision Center 30-6505

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 ›

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.

SAMS EAST INC
Pharmacy (Community/Retail Pharmacy)
849 STONERIDGE PKWY
JEFFERSON CITY, MO 65109
Cole County (479) 204-8850
MENDY SCHMID HIS
Hearing Instrument Specialist
849 STONERIDGE PKWY
JEFFERSON CITY, MO 65109
Cole County (573) 469-0056
MRS. JENNIFER OHNESORGE
Student in an Organized Health Care Education/Training Program
849 STONERIDGE PKWY
JEFFERSON CITY, MO 65109
Cole County (573) 469-0906
STEFANIE WEBER
Pharmacist
849 STONERIDGE PKWY
JEFFERSON CITY, MO 65109
Cole County (573) 469-0906
CORY MYREN AU.D.
Audiologist
849 STONERIDGE PKWY
JEFFERSON CITY, MO 65109
Cole County (573) 694-2805

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 1700265642. It was assigned to this organization in the NPPES registry on May 26, 2015. The provider is doing business as Sam's Club Vision Center 30-6505.

Where is Sam's East, Inc located?

Sam's East, Inc is located at 849 Stoneridge Pkwy, Jefferson City, MO 65109. The listed phone number is (479) 204-8550.

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 May 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.