Organization
WAL-MART STORES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NORMA B SMITH (MPI ASSOCIATE)
(479) 277-1703
Entity
Organization
Contact information
Practice address
19501 NORTHWEST 27TH AVE., MIAMI GARDENS, FL 33056
(305) 622-6664
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0235
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
09/11/2025
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