Organization
SAM'S EAST, INC.
Active
Parent organization
WAL-MART STORES, INC.
Other names
Sam's Vision Center 30-4939
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES, INC.
Authorized official
LAURA LEVINE (DIR GOV CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
3239 GOLIAD RD, SAN ANTONIO, TX 78223
(210) 507-0495
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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