OrganizationActive
Sam'S Optical, Penn Square, LLC
NPI 1861639080 · Optician · Oklahoma City, OK
Sam'S Optical, Penn Square, LLC is a Optician organization in Oklahoma City, OK (NPI 1861639080).
Provider details
- NPI number
- 1861639080
- Entity type
- Organization
- Primary specialty
- OpticianEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Shelly Bertin, Co-Owner(405) 631-7558
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
1900 Nw Expressway Ste R1-114
Oklahoma City, OK 73118-1802
Phone: (405) 631-7558
Fax: (405) 631-0615
Street-level locationGet directions
Mailing address
1900 Nw Expressway Ste R1-114
Oklahoma City, OK 73118-1802
Other names (DBA / former)
- Other name
- Sam'S Optical
Registry dates
- Enumerated
- 2009-01-09
- Last updated
- 2009-01-09
Frequently asked questions
- What is Sam'S Optical, Penn Square, LLC's NPI number?
- Sam'S Optical, Penn Square, LLC's National Provider Identifier (NPI) is 1861639080, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sam'S Optical, Penn Square, LLC?
- Sam'S Optical, Penn Square, LLC is classified in the NPPES registry as Optician (Eye and Vision Services Providers).
- Where is Sam'S Optical, Penn Square, LLC located?
- Sam'S Optical, Penn Square, LLC's practice location on file with NPPES is 1900 Nw Expressway Ste R1-114, Oklahoma City, OK 73118-1802.
- What is Sam'S Optical, Penn Square, LLC's phone number?
- The practice phone number listed in the NPPES registry for Sam'S Optical, Penn Square, LLC is (405) 631-7558.
- Who is the authorized official for Sam'S Optical, Penn Square, LLC?
- The authorized official listed on Sam'S Optical, Penn Square, LLC's NPPES record is Shelly Bertin, Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sam'S Optical, Penn Square, LLC's NPI active?
- Yes — Sam'S Optical, Penn Square, LLC's NPI (1861639080) is active in the NPPES registry as of the last update on 2009-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.