Organization
WAL-MART STORES EAST , LP
Active
Other names
Walmart Vision Center 30-2804
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTH CARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
1801 BELLE ISLE BLVD, OKLAHOMA CITY, OK 73118-4221
(405) 832-9026
(405) 832-9025
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 204-1850
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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