Organization
WAL-MART STORES EAST, LP
Active
Other names
Vision Center 30-1441
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEVINE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
5303 BOWEN DR, MASON, OH 45040-6732
(513) 583-9333
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0235
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/26/2006
Last updated
02/21/2014
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