# WAL-MART STORES EAST, LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wal-Mart Vision Center 30-1017
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689736233
- **Authorized official:** MR. BJ RICE (PROVIDER ENROLLMENT SPECIALIST)
- **Authorized official phone:** (479) 277-9835

## Contact information

- **Practice address:** 529 PAXVILLE HWY, MANNING, SC 29102
- **Practice address phone:** (803) 435-6686
- **Mailing address:** 702 SW 8TH ST., BENTONVILLE, AR 72716-0235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | — | NULL | — |
| 156FX1800X | Optician | — | — | — |
| 332H00000X | Eyewear Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 09/11/2025