# WAL-MART STORES EAST LP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WAL-MART STORES INC
- **Other names:** Vision Center 30-0621
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700165651
- **Legal business name:** WAL-MART STORES INC
- **Authorized official:** DIANNA PAINTER (ENROLLMENT SPECIALIST)
- **Authorized official phone:** (479) 277-1238

## Contact information

- **Practice address:** 900 US 52 HWY, LAKE CITY, SC 29560
- **Practice address phone:** (843) 394-7405
- **Mailing address:** 702 SW 8TH ST, BENTONVILLE, AR 72716-6209

## Taxonomy

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

## Other

- **Enumeration date:** 08/10/2011
- **Last updated:** 08/10/2011