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Organization

WAL-MART STORES EAST LP

Active
Parent organization
WAL-MART STORES INC
Other names
Vision Center 30-5786
Organization subpart
Yes

Provider details

NPI number
Legal business name
WAL-MART STORES INC
Authorized official
DIANNA PAINTER (ENROLLMENT SPECIALIST)
(479) 277-1238
Entity
Organization

Contact information

Practice address
1100 OLD PHILADELPHIA RD, JASPER, GA 30143
(706) 301-5696
Mailing address
702 SW 8TH ST., BENTONVILLE, AR 72716-0445

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
08/11/2010
Last updated
08/11/2010
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