Organization
WAL-MART STORES INC
Active
Parent organization
WAL-MART STORES INC
Other names
Wal-Mart Vision Center 30-5839
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES INC
Authorized official
MRS. LAURA LEVINE (MANAGER OF GOVERMENT CONTRACTS)
(479) 204-8550
Entity
Organization
Contact information
Practice address
3615 CRATER LAKE HWY, MEDFORD, OR 97504-9259
(541) 772-3451
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 273-4885
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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