Sam's East, INC

NPI #1477947869 in Addison, Texas

Provider Information

NPI Number: 1477947869
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: Mar 24, 2015
Last Updated: Mar 24, 2015

Practice Location

Address: 4150 BELT LINE RD
City: Addison
State: Texas
ZIP Code: 75001
Phone: (972) 934-3727

Authorized Official

Name: LAURA LEVINE
Title: DIRECTOR, OF HEALTHCARE CONTRACTING
Phone: (479) 204-8550

Specialties & Taxonomy Codes

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

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