Organization
WAL-MART STORES TEXAS, LLC
Active
Parent organization
WAL-MART STORES, INC.
Other names
Walmart Vision Center 30-6898
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES, INC.
Authorized official
SHANNON FARMER (ENROLLMENT SPECIALIST)
(479) 277-1242
Entity
Organization
Contact information
Practice address
11415 QUAKER AVENUE, LUBBOCK, TX 79423
(806) 392-9609
(806) 392-9608
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-1242
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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