Organization
WAL-MART STORES, INC.
Active
Other names
Walmart Vision Center 30-1879
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIR HEALTHCARE CREDENTIALING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
301 MONTARA RD, BARSTOW, CA 92311
(760) 308-4017
(760) 252-0190
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 258-2115
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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