Organization

Wal-mart Stores East, Lp

May also be knows as Vision Center

Legal Business Name

Wal-mart Stores East, Lp

Also Known As

Vision Center

NPI Number

1093863573

NPI Type

Organization

Enumeration Date

01/08/2007

Specialties

(Taxonomies)

Code

332H00000X
156FX1800X

Primary Taxonomy

No
No

Contact
Information

Purpose

Mailing
Location

Address

702 SW 8TH STREET
750 TIDEWATER DRIVE

City

Bentonville
Norfolk

State

AR
VA

Postal Code

72716-0235
23505

Country

US
US

Telephone Number

N/A
(757) 480-3076

Authorized Official

Name

Mr. G Crainshaw

Title or Position

PROVIDER ENROLLMENT SPECIALIST

Telephone Number

(479) 277-1850

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

Provider Address