# SAM'S EAST INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WAL-MART STORES INC
- **Other names:** Sam's Club Vision Center 30-4879
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669805636
- **Legal business name:** WAL-MART STORES INC
- **Authorized official:** LAURA LEVINE (MANAGER OF GOVERNMENT CONTRACTING)
- **Authorized official phone:** (479) 204-8550

## Contact information

- **Practice address:** 220 JEFFERSON DAVIS HWY, AIKEN, SC 29801
- **Practice address phone:** (803) 663-7061
- **Practice address fax:** (803) 663-7013
- **Mailing address:** 702 SW 8TH ST, BENTONVILLE, AR 72716-0445

## Taxonomy

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

## Other

- **Enumeration date:** 08/14/2013
- **Last updated:** 08/14/2013
