Organization
WAL-MART STORES, LP
Active
Other names
Vision Center 30-4583
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEVINE (DIR., HEALTHCARE CONTRACTING AND EN)
(479) 204-8550
Entity
Organization
Contact information
Practice address
3925 PELHAM RD, GREENVILLE, SC 29615-5004
(864) 288-2813
(864) 288-2820
Mailing address
702 SW 8TH ST., BENTONVILLE, AR 72716-0235
(479) 277-1175
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
08/29/2008
Last updated
07/28/2016
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