Organization
WAL-MART STORES EAST, LP
Active
Other names
Vision Center 30-1396
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA M. EPPERSON (NPI COORDINATOR)
(316) 788-5580
Entity
Organization
Contact information
Practice address
920 STATE ROAD 136, BARABOO, WI 53913-9254
(608) 356-1765
(608) 356-0260
Mailing address
702 SW 8TH STREET, BENTONVILLE, AR 72716-0235
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
10/18/2006
Last updated
03/10/2025
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