Organization
SAM'S EAST INC
Active
Parent organization
WAL-MART STORES INC
Other names
Sam's Club Vision Center 30-4879
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES INC
Authorized official
LAURA LEVINE (MANAGER OF GOVERNMENT CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
220 JEFFERSON DAVIS HWY, AIKEN, SC 29801
(803) 663-7061
(803) 663-7013
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
08/14/2013
Last updated
08/14/2013
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