Organization
SAMS EAST INC
Active
Parent organization
WAL-MART STORES INC
Other names
Sam's Club Vision Center 30-6482
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES INC
Authorized official
DANIELLE SMITH (ENROLLMENT SPECIALIST)
(479) 204-8705
Entity
Organization
Contact information
Practice address
5555 S BUCKNER BLVD, DALLAS, TX 75228-6101
(214) 321-9574
(214) 321-2473
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
01/14/2013
Last updated
01/14/2013
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