Organization
WAL-MART STORES EAST, LP
Active
Other names
Walmart Vision Center 30-0564
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW MCMULLIN (DIRECTOR)
(479) 371-8711
Entity
Organization
Contact information
Practice address
6100 W RENO AVE, OKLAHOMA CITY, OK 73127-6507
(405) 621-7912
(405) 621-7913
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 371-2827
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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