Organization
WAL-MART STORES, INC.
Active
Other names
Vision Center 30-2367
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NORMA B SMITH (MPI ASSOCIATE)
(479) 277-1703
Entity
Organization
Contact information
Practice address
950 11TH ST SW, PINE CITY, MN 32062
(320) 629-5845
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0235
(479) 277-1703
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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