Organization
WAL-MART STORES EAST, LP
Active
Parent organization
WAL-MART STORES EAST, LP
Other names
Walmart Vision Center 30-1762
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES EAST, LP
Authorized official
LAURA LEVINE (DIRECTOR)
(479) 204-8550
Entity
Organization
Contact information
Practice address
700 LAFAYETTE RD, UNIT #1, SEABROOK, NH 03874-6207
(603) 474-1681
(603) 474-1683
Mailing address
702 SW 8TH ST., BENTONVILLE, AR 72716-0235
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
06/09/2014
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