Organization
WAL-MART STORES EAST LP
Active
Parent organization
WAL-MART STORES INC
Other names
Wal-Mart Vision Center 30-4472
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES INC
Authorized official
LAURA LEVINE (MANAGER OF GOVERNEMENT CONTRACTING)
(477) 204-8550
Entity
Organization
Contact information
Practice address
8424 MALL PARKWAY, LITHONIA, GA 30038-2979
(770) 482-2497
(770) 484-6603
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
08/13/2013
Last updated
08/16/2013
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