Organization
WAL-MART STORES TEXAS, LLC
Active
Parent organization
WAL-MART STORES, INC.
Other names
Walmart Vision Center 30-4163
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES, INC.
Authorized official
LAURA LEVINE (DIR., HEALTHCARE CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
2801 E WHITESTONE BLVD, CEDAR PARK, TX 78613-7273
(479) 273-4000
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 273-4000
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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