Sam's East, INC

NPI #1225407380 in Amarillo, Texas

Provider Information

NPI Number: 1225407380
Entity Type: Organization
Organization Name: Sam's East, INC
Subpart: Yes (part of a larger organization)
Parent Organization: WAL-MART STORES INC
Primary Specialty: Eyewear Supplier
Enumeration Date: Sep 18, 2015
Last Updated: Sep 18, 2015

Practice Location

Address: 8952 WESTGATE PKWY
City: Amarillo
State: Texas
ZIP Code: 79124-1782
Phone: (806) 513-6494

Authorized Official

Name: LAURA LEVINE
Title: DIRECTOR
Phone: (479) 204-8550

Specialties & Taxonomy Codes

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

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