NPI 1093056939
Sam's East, INC.
Practice location
- Address
- 715 Bonita Dr, Meridian, MS 39301-4603
- Phone
- (601) 286-6016
- Mailing address
- 702 SW 8th St, Bentonville, AR 72716-0445
Authorised official
- Name
- Amy Powers
- Title
- Specialist, Plan Enrollment
- Phone
- (479) 204-0709
Registered specialties (2)
Eyewear Supplier
Primary
Registry record
- NPI
- 1093056939
- Entity type
- Organization
- NPI issued
- 1 Mar 2013
- Record last updated
- 6 Mar 2013
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.