Organization
WAL-MART STORES, INC.
Active
Other names
Walmart Vision Center 30-0346
Organization subpart
No
Provider details
NPI number
Authorized official
DEB LAUVER (SPECIALIST PLAN ENROLLMENT)
(479) 258-2115
Entity
Organization
Contact information
Practice address
719 W 7TH AVE, AUGUSTA, KS 67010-1314
(316) 347-2724
(316) 775-3168
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 258-2115
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/03/2015
Last updated
10/06/2015
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