Organization
WAL-MART STORES, INC.
Active
Other names
Wal-Mart Vision Center 30-1633
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNA M. PAINTER (ENROLLMENT SPECIALIST)
(479) 277-1238
Entity
Organization
Contact information
Practice address
21 COUNTY RD 120, SAINT CLOUD, MN 56303
(320) 259-5880
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-1238
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/23/2006
Last updated
07/28/2011
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