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Organization

WAL-MART STORES EAST, LP

Active
Other names
Vision Center 30-1446
Organization subpart
No

Provider details

NPI number
Authorized official
LAURIE HAYNES (SUPERVISOR)
(479) 204-8495
Entity
Organization

Contact information

Practice address
2501 WEST AVE, RICE LAKE, WI 54868-6000
(715) 236-7642
Mailing address
702 SW 8TH ST, MAIL STOP 0235, BENTONVILLE, AR 72716-6209

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
07/01/2006
Last updated
08/22/2020
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