Organization
WAL-MART STORES EAST, LP
Active
Parent organization
WAL-MART STORES, INC.
Other names
Walmart Vision Center 30-1727
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES, INC.
Authorized official
DEB LAUVER (SPECIALIST)
(479) 258-2115
Entity
Organization
Contact information
Practice address
W861 COUNTY ROAD F, BERLIN, WI 54923-9110
(920) 361-9800
(920) 361-9803
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 258-2115
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/02/2015
Last updated
10/06/2015
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