Organization
SAM'S EAST, INC.
Active
Parent organization
WAL-MART STORES, INC.
Other names
Sam's Vision Center 30-6269, Sam's Optical Center 30-6269
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES, INC.
Authorized official
KIMBERLY CANONIC (SR DIRECTOR)
(480) 853-0515
Entity
Organization
Contact information
Practice address
621 N EXPRESSWAY 77, HARLINGEN, TX 78552-5202
(956) 507-7322
(956) 425-0185
Mailing address
1 CUSTOMER DR, MS 0445, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/24/2014
Last updated
06/15/2026
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