| Organization Name: | WAL-MART STORES EAST, LP |
| NPI Number: | 1912230632 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HOLLY C WILKINSON (HEALTH & WELLNESS OPTICAL INSURANCE) |
| Mailing Address: | 1617 E Beach Blvd Pass Christian |
| State: | MS US |
| Postal Code: | 395714914 |
| Phone Number: | 2284524948 |
| Fax Number: | |
| NPI Enumeration Date: | 09/14/2009 |
| NPI Last Update Date: | 09/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |