Organization
WAL-MART STORES EAST, LP
Active
Other names
Vision Center 30-1306
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY CANONIC (SENIOR DIRECTOR)
(480) 853-0515
Entity
Organization
Contact information
Practice address
233 S NEW YORK AVE, ALAMOGORDO, NM 88310-6531
(505) 434-5870
Mailing address
1 CUSTOMER DR, BENTONVILLE, AR 72716-0445
(405) 202-9925
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/20/2006
Last updated
01/14/2026
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