Organization
SAM'S EAST, INC
Active
Parent organization
WAL-MART STORES INC
Other names
Sam's Club Vision Center 30-7676
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES INC
Authorized official
LAURA LEVINE (DIRECTOR)
(479) 204-8550
Entity
Organization
Contact information
Practice address
8952 WESTGATE PKWY, AMARILLO, TX 79124-1782
(806) 513-6494
(806) 513-6484
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 204-8550
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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