Organization
WAL-MART STORES EAST, LP
Active
Parent organization
WAL-MART STORES INC
Other names
Wal-Mart Vision Center 30-5777
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES INC
Authorized official
LAURA LEVINE (MANAGER OF GOVERNMENT CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
450 PROVIDENCE RD, BROOKLYN, CT 06234-1823
(860) 774-1656
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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