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Organization

WAL-MART STORES EAST, LP

Active
Parent organization
WAL-MART STORES, INC.
Other names
Wal-Mart Vision Center 30-3035
Organization subpart
Yes

Provider details

NPI number
Legal business name
WAL-MART STORES, INC.
Authorized official
LAURA LEVINE (DIR. HEALTHCARE CONTRACT & ENROLL)
(479) 204-8550
Entity
Organization

Contact information

Practice address
310 RIGGS RD NE, WASHINGTON, DC 20011-2534
(202) 756-4417
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
09/17/2015
Last updated
09/17/2015
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