Whalio Doctors

NPI 1073030763

Sam's East, INC.

Organisation Optician Gulfport, MS

Practice location

Address
10431 Old Highway 49, Gulfport, MS 39503-4118
Phone
(228) 832-4441
Fax
(228) 832-5536
Mailing address
702 SW 8th St, Bentonville, AR 72716-0445

Authorised official

Name
Sarah Little
Title
Director, Healthcare Contracting
Phone
(479) 277-2500

Registered specialties (2)

Optician Primary
Eye and Vision Services Providers Taxonomy 156FX1800X
Eyewear Supplier
Suppliers Taxonomy 332H00000X

Registry record

NPI
1073030763
Entity type
Organization
NPI issued
24 Aug 2017
Record last updated
24 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.