Organization
WAL-MART STORES INC.
Active
Other names
Vision Center 30-4713
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SONYA M HURD (CONTRACT COORDINATOR)
(479) 204-8932
Entity
Organization
Contact information
Practice address
702 SW 8TH ST, BENTONVILLE, AR 72716-6209
(479) 204-8932
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-6209
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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