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Organization
WAL-MART STORES EAST, LP
Active
Organization
WAL-MART STORES EAST, LP
Active
Parent organization
WAL-MART STORES, INC
Other names
Walmart Vision Center 30-6887
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES, INC
Authorized official
LAURA LEVINE (DIRECTOR)
(479) 204-8550
Entity
Organization
Contact information
Practice address
300 BYPASS 25 NE, GREENWOOD, SC 29646
(864) 321-6030
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-2500
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
NULL
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
NULL
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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