Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sam's East Inc

Organization Optician · NPI 1578652194

Sam's East Inc is an Optician in Athens, Georgia. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4365 Atlanta Hwy
Athens, GA 30606-0808
Phone: (706) 548-2824
Fax: (706) 548-9676
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X
Optician Taxonomy 156FX1800X

Record details

NPI number1578652194
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Sr Director · (480) 853-0515
Other names Sam'S Club Optical 30-8194; Sam'S Optical Center 30-8194
NPI enumeratedOctober 12, 2006
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address1 Customer Dr, Ms 0445, Bentonville, AR 72716-0445

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