Organization
WAL-MART STORES EAST, LP
Active
Parent organization
WAL-MART STORES INC
Other names
Wal-Mart Vision Center 30-4365
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES INC
Authorized official
LAURA LEVINE (DIRECTOR, HEALTHCARE CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
11930 NARCOOSSEE ROAD, ORLANDO, FL 32832-0000
(407) 204-2035
Mailing address
702 SW 8TH ST, MAIL STOP 0445, BENTONVILLE, AR 72716-0445
(479) 204-8550
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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