Organization
WAL-MART STORES EAST, LP
Active
Other names
Walmart Vision Center 30-3388
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW MCMULLIN (DIRECTOR)
(479) 371-8711
Entity
Organization
Contact information
Practice address
1400 LAWRENCEVILLE HWY, LAWRENCEVILLE, GA 30044-2029
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 371-2827
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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