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Organization
WAL-MART STORES EAST, LP
Active
Organization
WAL-MART STORES EAST, LP
Active
Other names
Walmart Vision Center 30-3564
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW MCMULLIN (DIRECTOR)
(479) 371-8711
Entity
Organization
Contact information
Practice address
2101 BLAIR MILL RD, WILLOW GROVE, PA 19090-1751
(215) 659-2460
(215) 659-5209
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 371-2827
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
NULL
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
NULL
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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