Sams East

NPI #1669570875 in Severn, Maryland

Provider Information

NPI Number
1669570875
Entity Type
Organization
Organization Name
Sams East
Subpart
Yes (part of a larger organization)
Parent Organization
WAL-MART STORES INC
Primary Specialty
Eyewear Supplier
Enumeration Date
Sep 20, 2006
Last Updated
Jun 27, 2011

Practice Location

Address
424 GEORGE CLAUS BLVD
City
Severn
ZIP Code
21144
Phone
(410) 969-5647

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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