# WAL-MART STORES EAST, LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vision Center 30-0641
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972693083
- **Authorized official:** LINDA M. EPPERSON (NPI COORDINATOR)
- **Authorized official phone:** (316) 788-5580

## Contact information

- **Practice address:** 6134 WHITE HORSE RD, GREENVILLE, SC 29611-3837
- **Practice address phone:** (864) 295-3181
- **Mailing address:** 702 SW 8TH STREET, BENTONVILLE, AR 72716-0235

## Taxonomy

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

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 09/11/2025