Organization
WAL-MART STORES, INC.
Active
Other names
Walmart Vision Center 30-3004
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEVINE (DIR., HEALTHCARE CONTRACTING)
(479) 204-8850
Entity
Organization
Contact information
Practice address
3320 S CICERO AVE, CICERO, IL 60804-4531
(479) 273-4000
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 273-4000
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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