Organization
WAL-MART STORES, INC
Active
Other names
Wal-Mart Vision Center 30-4392
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEVIN (DIRECTOR, HEALTHCARE CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
12234 PALMDALE RD, VICTORVILLE, CA 92301
(760) 962-9316
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/26/2014
Last updated
03/31/2014
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