Organization
SAM'S EAST, INC.
Active
Parent organization
WAL-MART STORES, INC.
Other names
Sam's Club Vision Center 30-8158
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES, INC.
Authorized official
LAURA LEVINE (DIRECTOR OF CONTRACT AND ENROLL)
(479) 204-8550
Entity
Organization
Contact information
Practice address
9464 MAIN ST, WOODSTOCK, GA 30188-3715
(678) 402-0540
(770) 928-2013
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
09/28/2015
Last updated
09/28/2015
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