Organization
WAL-MART STORES EAST, LP
Active
Other names
Vision Center 30-5131
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY C WILKINSON (CARRIER SPECIALIST)
(479) 204-8320
Entity
Organization
Contact information
Practice address
3461 HORIZON BLVD, TREVOSE, PA 19053-4967
(215) 942-4005
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
10/26/2006
Last updated
01/19/2010
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