Organization
WAL-MART EAST, LP
Active
Other names
Walmart Vision Center 30-5214
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR HEALTH CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
2855 N. OLD LAKE WILSON ROAD, KISSIMMEE, FL 34747-0000
(479) 277-2500
(479) 277-4331
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-2500
(479) 277-2500
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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