OrganizationActive
Sam'S East, Inc.
NPI 1104374420 · Eyewear Supplier · Orlando, FL
Sam'S East, Inc. is a Eyewear Supplier organization in Orlando, FL (NPI 1104374420).
Provider details
- NPI number
- 1104374420
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Wal-Mart Stores, Inc.
- Organization subpart
- Yes
- Authorized official
- Laura Levine, Dir Healthcare Contract & Enroll(479) 204-8550
Specialties & taxonomies
Suppliers
- Optician156FX1800X
Eye and Vision Services Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11920 Narcoossee Rd
Orlando, FL 32832-0000
Phone: (407) 204-8622
Fax: (407) 816-8164
Street-level locationGet directions
Mailing address
702 Sw 8th St
Bentonville, AR 72716-0445
Other names (DBA / former)
- Doing business as
- Sam'S Club Optical 30-4828
Registry dates
- Enumerated
- 2016-09-15
- Last updated
- 2017-01-04
Frequently asked questions
- What is Sam'S East, Inc.'s NPI number?
- Sam'S East, Inc.'s National Provider Identifier (NPI) is 1104374420, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sam'S East, Inc.?
- Sam'S East, Inc. is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Sam'S East, Inc. located?
- Sam'S East, Inc.'s practice location on file with NPPES is 11920 Narcoossee Rd, Orlando, FL 32832-0000.
- What is Sam'S East, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Sam'S East, Inc. is (407) 204-8622.
- Who is the authorized official for Sam'S East, Inc.?
- The authorized official listed on Sam'S East, Inc.'s NPPES record is Laura Levine, Dir Healthcare Contract & Enroll. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sam'S East, Inc.'s NPI active?
- Yes — Sam'S East, Inc.'s NPI (1104374420) is active in the NPPES registry as of the last update on 2017-01-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.