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Organization

WAL-MART STORES EAST, LP

Active
Parent organization
WAL-MART STORES, INC.
Other names
Walmart Vision Center 30-7020
Organization subpart
Yes

Provider details

NPI number
Legal business name
WAL-MART STORES, INC.
Authorized official
LAURA LEVINE (DIR. HEALTHCARE CONTRACTING)
(479) 277-1242
Entity
Organization

Contact information

Practice address
5511 MURFREESBORO RD, LA VERGNE, TN 37086-2736
(615) 984-0064
(615) 355-9790
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-1242
(479) 277-4331

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
08/18/2016
Last updated
08/18/2016
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