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Organization
SAM'S EAST INC
Active
Organization
SAM'S EAST INC
Active
Other names
Sam's Club Optical 30-8194, Sam's Optical Center 30-8194
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SR DIRECTOR)
(480) 853-0515
Entity
Organization
Contact information
Practice address
4365 ATLANTA HWY, ATHENS, GA 30606-0808
(706) 548-2824
(706) 548-9676
Mailing address
1 CUSTOMER DR, MS 0445, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/12/2006
Last updated
06/15/2026
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