Organization
WAL-MART STORES EAST, LP
Active
Parent organization
WAL-MART STORES, INC
Other names
Walmart Vision Center 30-2756
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES, INC
Authorized official
SARAH LITTLE (DIRECTOR)
(479) 277-2500
Entity
Organization
Contact information
Practice address
2421 MONOCACY BLVD, FREDERICK, MD 21701-3275
(301) 644-2456
(301) 644-2458
Mailing address
702 SW 8TH ST, MS 0445, BENTONVILLE, AR 72716-0445
(479) 277-2500
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/20/2006
Last updated
03/21/2017
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