Organization
WAL-MART STORES EAST, LP
Active
Other names
Vision Center 2313
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J SIMMONS (NPI ASSOCIATE)
(479) 277-9373
Entity
Organization
Contact information
Practice address
905 SINGLETARY DR, STREETSBORO, OH 44241
(330) 422-2168
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716
(479) 277-9373
(479) 277-8176
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
11/20/2007
Last updated
06/20/2008
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