Organization
SAM'S EAST, INC.
Active
Other names
Sam's Optical Center 30-4795
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW MCMULLIN (DIRECTOR)
(479) 371-8711
Entity
Organization
Contact information
Practice address
1701 W STATE HIGHWAY 114, GRAPEVINE, TX 76051-8652
(682) 271-5222
(682) 271-5230
Mailing address
702 SW 8TH STREET, BENTONVILLE, AR 72716-0235
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
09/12/2024
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