OrganizationActive
Sam'S East, Inc.
NPI 1669350781 · Eyewear Supplier · Lebanon, TN
Sam'S East, Inc. is a Eyewear Supplier organization in Lebanon, TN (NPI 1669350781).
Provider details
- NPI number
- 1669350781
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Kimberly Canonic, Director of Health Care Contracting(480) 277-6348
Specialties & taxonomies
Suppliers
- Optician156FX1800X
Eye and Vision Services Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
600 Willard Hagan Dr
Lebanon, TN 37090
Phone: (615) 994-4119
Approximate (ZIP-level) locationGet directions
Mailing address
1 Customer Dr # Ms 0445
Bentonville, AR 72716-0445
Other names (DBA / former)
- Doing business as
- Sam'S Optical Center 30-7673
Registry dates
- Enumerated
- 2025-08-26
- Last updated
- 2026-05-19
- Certified
- 2026-05-19
Frequently asked questions
- What is Sam'S East, Inc.'s NPI number?
- Sam'S East, Inc.'s National Provider Identifier (NPI) is 1669350781, 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 600 Willard Hagan Dr, Lebanon, TN 37090.
- What is Sam'S East, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Sam'S East, Inc. is (615) 994-4119.
- Who is the authorized official for Sam'S East, Inc.?
- The authorized official listed on Sam'S East, Inc.'s NPPES record is Kimberly Canonic, Director of Health Care Contracting. 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 (1669350781) is active in the NPPES registry as of the last update on 2026-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.