Organization
WAL-MART STORE EAST, LP
Active
Other names
Walmart Vision Center 30-2871
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
2501 ROUTE 130 S, CINNAMINSON, NJ 08077-3075
(479) 277-9170
(479) 277-4331
Mailing address
702 SW 8TH ST # MS 0445, BENTONVILLE, AR 72716-0445
(479) 277-9170
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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