Organization
WAL-MART STORES EAST, LP
Active
Other names
Vision Center 30-5079
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY C WILKINSON (HEALTH & WELLNESS OPTICAL INSURANCE)
(479) 204-8320
Entity
Organization
Contact information
Practice address
1617 E BEACH BLVD, PASS CHRISTIAN, MS 39571-4914
(228) 452-4948
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
09/14/2009
Last updated
09/14/2009
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