Organization
SAM'S EAST, INC.
Active
Parent organization
WAL-MART STORES, INC.
Other names
Sams Club Optical Center 30-6976
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES, INC.
Authorized official
LAURA LEVINE (DIRECTOR, HEALTHCARE CONTRACTING)
(479) 258-6180
Entity
Organization
Contact information
Practice address
11460 ROYALL COTTON ROAD, WAKE FOREST, NC 27587-0000
(919) 263-6120
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/28/2016
Last updated
07/13/2016
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