Organization
WAL-MART STORES EAST, LP
Active
Parent organization
WAL-MART STORES, INC
Other names
Wal-Mart Vision Center 30-3858
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES, INC
Authorized official
LAURA LEVINE (DIR. HEALTHCARE CONTRACT&PLAN ENROL)
(479) 204-8550
Entity
Organization
Contact information
Practice address
22100 STATE ROAD 7, BOCA RATON, FL 33428-4218
(479) 277-2500
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-2500
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
07/23/2014
Last updated
07/25/2014
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