Organization
WAL-MART STORES EAST, LP
Active
Parent organization
WAL-MART STORES EAST, LP
Other names
Walmart Vision Center 30-2399
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES EAST, LP
Authorized official
MRS. LAURA LEVINE (DIRECTOR CONTRACTING, HEALTH & WELL)
(479) 204-8550
Entity
Organization
Contact information
Practice address
725 GOLD STREET, MANCHESTER, NH 03103-3218
(603) 621-9922
(603) 621-9760
Mailing address
702 SW 8TH ST, MS 0445, BENTONVILLE, AR 72716-0445
(479) 204-8550
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
NH
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
—
NH
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
10/30/2006
Last updated
05/04/2016
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