Organization
WAL-MART STORE TEXAS, LLC
Active
Parent organization
WAL-MART STORES INC
Other names
Vision Center 30-3777
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES INC
Authorized official
LAURA LEVINE (MANAGER GOV CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
12220 FM 423 E, FRISCO, TX 75034-5222
(469) 362-8763
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0629
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
05/30/2013
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