Organization
WAL-MART STORES EAST, L.P.
Active
Other names
Vision Center 30-2634
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J. SIMMONS (NPI ASSOCIATE)
(479) 277-9373
Entity
Organization
Contact information
Practice address
551 MAIN ST, GORHAM, NH 03581-4901
(603) 752-2589
Mailing address
702 SW 8TH STREET, BENTONVILLLE, AR 72716-0235
(479) 277-9373
(479) 277-8176
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
09/11/2025
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