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Organization
SAM'S EAST, INC.
Active
Organization
SAM'S EAST, INC.
Active
Parent organization
WAL-MART STORES EAST, LP
Other names
Sam's Vision Center 30-4836
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES EAST, LP
Authorized official
LAURA LEVINE (DIR HEALTHCARE CONTRACTING & ENROLL)
(479) 204-8550
Entity
Organization
Contact information
Practice address
1900 OXFORD EXCHANGE BLVD, OXFORD, AL 36203
(256) 831-9755
Mailing address
702 SW 8TH ST, MAILSTOP 0445, BENTONVILLE, AR 72716-0445
(479) 277-2500
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/07/2014
Last updated
06/13/2014
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