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)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