# SAMS EAST, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WAL-MART STORES, INC.
- **Other names:** Sams Club Optical Center 30-6582
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104374172
- **Legal business name:** WAL-MART STORES, INC.
- **Authorized official:** LAURA LEVINE (DIR HEALTHCARE CONTRACT & ENROLL)
- **Authorized official phone:** (479) 204-8550

## Contact information

- **Practice address:** 14 BLUFFTON ROAD, BLUFFTON, SC 29910-7621
- **Practice address phone:** (843) 837-1706
- **Practice address fax:** (843) 837-1298
- **Mailing address:** 702 SW 8TH ST, MAILSTOP 0445, BENTONVILLE, AR 72716-0445
- **Mailing address phone:** (479) 204-8550
- **Mailing address fax:** (479) 277-4331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | — | NULL | — |
| 156FX1800X | Optician | — | — | — |
| 332H00000X | Eyewear Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 09/19/2016
- **Last updated:** 12/12/2016