Organization
WALMAN OPTICAL COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN SCHUELER (VICE PRESIDENT AND GENERAL MANAGER)
(612) 520-6000
Entity
Organization
Contact information
Practice address
2747 ENTERPRISE AVE, UNIT 3, BILLINGS, MT 59102-7412
(406) 252-2143
(800) 759-4920
Mailing address
2747 ENTERPRISE AVE, UNIT 3, BILLINGS, MT 59102-7412
(406) 252-2143
(800) 759-4920
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000029735
DEPT OF CORRECTIONS #
MT
05
—
0550056
—
MT
01
—
5520002
CHIP PROVIDER NUMBER
MT
Enumeration date
03/16/2007
Last updated
08/17/2016
Update your record
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