Organization
WAL-MART STORES EAST, LP
Active
Other names
Wal-Mart Vision Center 30-0451
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID J SIMMONS (NPI ASSOCIATE)
(479) 277-9373
Entity
Organization
Contact information
Practice address
1201 GRINDSTONE PKWY, COLUMBIA, MO 65201-3741
(573) 449-0815
Mailing address
702 SW 8TH ST., BENTONVILLE, AR 72716-0235
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
12/13/2006
Last updated
06/16/2008
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