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Organization
SAM'S EAST, INC.
Active
Organization
SAM'S EAST, INC.
Active
Parent organization
WAL-MART STORES, INC.
Other names
Sam's Club Vision Center 30-6571
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES, INC.
Authorized official
LAURA LEVINE (DIRECTOR OF GOVT. CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
200 N BELTLINE DR, FLORENCE, SC 29501-7403
(843) 758-6087
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
NULL
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
NULL
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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