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Organization

WAL-MART STORES TEXAS, LLC

Active
Parent organization
WAL-MART STORES, INC.
Other names
Wal-Mart Vision Center 30-3112
Organization subpart
Yes

Provider details

NPI number
Legal business name
WAL-MART STORES, INC.
Authorized official
AMY POWERS (SPECIALIST, PLAN ENROLLMENT)
(479) 204-0709
Entity
Organization

Contact information

Practice address
4096 NORTH FOSTER, SAN ANTONIO, TX 78244
(210) 507-4959
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
02/25/2013
Last updated
04/30/2013
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