Organization
WAL-MART STORES, EAST, LP
Active
Other names
Vision Center 30-3842
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTY J HERBAUGH (MANAGER OPTICAL INSURANCE)
(479) 277-9274
Entity
Organization
Contact information
Practice address
425 ROUTE 31, MACEDON, NY 14502
(315) 986-1584
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
02/06/2007
Last updated
09/11/2025
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