Organization
WAL-MART STORES TEXAS, LLC
Active
Other names
Walmart Vision Center 30-4111
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
26824 FM 1093, RICHMOND, TX 77406
(479) 273-4288
(479) 277-4331
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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