Organization
WAL-MART STORES EAST, LP
Active
Parent organization
WAL-MART STORES, INC.
Other names
Walmart Vision Center 30-0956
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES, INC.
Authorized official
LAURA LEVINE (DIR HEALTHCARE CONTRACT&ENROLL)
(321) 773-8453
Entity
Organization
Contact information
Practice address
1001 E EAU GALLIE BLVD, INDIAN HARBOUR BEACH, FL 32937-4907
(321) 773-8453
Mailing address
702 SW 8TH ST, MAILSTOP 0445, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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