Organization
WAL-MART STORES EAST, LP
Active
Parent organization
WAL-MART STORES, INC.
Other names
Walmart Vision Center 30-3499
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES, INC.
Authorized official
DEB LAUVER (SPECIALIST)
(479) 258-2115
Entity
Organization
Contact information
Practice address
1520 S MAIN ST, JEFFERSON, WI 53549-2940
(920) 605-3004
(920) 674-2176
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/15/2015
Last updated
11/02/2015
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