Organization
WAL-MART STORE, INC.
Active
Other names
Vision Center 30-1364, Walmart Vision Center 30-1364
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
5695 HWY 95 N, LAKE HAVASU CITY, AZ 86403-9646
(928) 764-3755
(928) 472-2815
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-2500
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/23/2008
Last updated
07/21/2022
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