Organization
WAL-MART STORES EAST LP
Active
Parent organization
WAL-MAR STORES INC
Other names
Vision Center 30-0631
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MAR STORES INC
Authorized official
DIANNA M. PAINTER (ENROLLMENT SPECIALIST)
(479) 277-1238
Entity
Organization
Contact information
Practice address
115 ROLLING HILLS CIRCLE, EASLEY, SC 29640
(864) 859-6216
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-1238
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
06/03/2011
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