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Organization

WAL-MART STORES, INC.

Active
Other names
Vision Center 30-0806
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. HOLLY C WILKINSON (OPTICAL INSURANCE ASSOCIATE)
(479) 204-8320
Entity
Organization

Contact information

Practice address
571 WALTON BLVD, LAS CRUCES, NM 88001-8449
(575) 525-1222
Mailing address
702 SW 8TH STREET, BENTONVILLE, AR 72716-0235

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
332H00000X
Eyewear Supplier

Other

Enumeration date
01/20/2009
Last updated
01/20/2009
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