Organization
WAL-MART STORES EAST, LP
Active
Other names
Vision Center 30-2096
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY C WILKINSON (CARRIER SPECIALIST)
(479) 204-8320
Entity
Organization
Contact information
Practice address
100 E STREET RD, WARMINSTER, PA 18974-3400
(215) 442-5670
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0235
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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