Organization
WALMART STORES, INC.
Active
Other names
Vision Center 30-2025
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SR DIRECTOR)
(479) 371-1168
Entity
Organization
Contact information
Practice address
3010 W GRANT LINE RD, TRACY, CA 95304-9402
(209) 836-5786
Mailing address
1 CUSTOMER DR, MS 0445, BENTONVILLE, AR 72716-0235
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/10/2006
Last updated
10/02/2025
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