Organization
WAL-MART STORES, INC.
Active
Other names
Vision Center 30-4521
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SABRINA NICOLE SUTTON (NPI ASSOCIATE)
(479) 277-1175
Entity
Organization
Contact information
Practice address
1780 S LAKE DR, LEXINGTON, SC 29073
(803) 957-1839
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0235
(479) 277-1175
(479) 277-8174
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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