Organization
WAL-MART STORES, INC.
Active
Other names
Walmart Vision Center 30-4049
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEVINE (DR HEALTHCARE CONTRACT AND ENROLL)
(479) 204-8550
Entity
Organization
Contact information
Practice address
21000 WESTERN AVE, OLYMPIA FIELDS, IL 60461-1900
(708) 898-9112
Mailing address
702 SW 8TH ST, MAILSTOP 0445, BENTONVILLE, AR 72716-0445
(479) 204-8550
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/20/2016
Last updated
08/20/2016
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