Organization
WAL-MART STORES EAST , LP
Active
Parent organization
WALMART INC
Other names
Walmart Vision Center 30-3295
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALMART INC
Authorized official
MICHELE GARVEY (SR DIR BILLING & RECONCILIATION)
(479) 277-2611
Entity
Organization
Contact information
Practice address
6310 S ELM PL, BROKEN ARROW, OK 74011-4100
(918) 455-4354
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
09/10/2021
Last updated
09/10/2021
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