Organization
WALMART INC.
Active
Other names
Vision Center 30-5404
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE GARVEY (SENIOR DIRECTOR II, BILLING)
(479) 277-2611
Entity
Organization
Contact information
Practice address
17550 HALSTED ST, HOMEWOOD, IL 60430-2001
(708) 755-1330
(708) 755-1476
Mailing address
702 SW 8TH ST., BENTONVILLE, AR 72716-0235
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
10/24/2006
Last updated
12/07/2022
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