Organization
WAL-MART STORES EAST, LP
Active
Other names
Vision Center 30-3747
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLINT W BINGHAM (NPI COORDINATOR)
(316) 788-5580
Entity
Organization
Contact information
Practice address
1501 E. 29TH ST., MUNCIE, IN 47302
(765) 282-7467
Mailing address
702 SW 8TH STREET, BENTONVILLE, AR 72716-0235
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/08/2006
Last updated
09/11/2025
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