Sams East INC

NPI #1063791721 in Longview, Texas

Provider Information

NPI Number: 1063791721
Entity Type: Organization
Organization Name: Sams East INC
Subpart: Yes (part of a larger organization)
Parent Organization: WAL-MART STORES INC
Primary Specialty: Eyewear Supplier
Enumeration Date: Aug 12, 2011
Last Updated: Aug 12, 2011

Practice Location

Address: 3310 N 4TH ST
City: Longview
State: Texas
ZIP Code: 75605-7954
Phone: (903) 663-5588

Authorized Official

Name: DIANNA PAINTER
Title: ENROLLMENT SPECIALIST
Phone: (479) 277-1238

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X
Eyewear Supplier	332H00000X	Primary

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