Organization
SAM'S EAST, INC
Active
Other names
Sam's Vision Center 30-8226
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEVINE (MGR GOV CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
5550 S. CLACK ST., ABILENE, TX 79606-0000
(325) 793-2652
(325) 793-9641
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
10/11/2006
Last updated
08/01/2013
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