Organization
WAL-MART STORES, INC
Active
Other names
Wal-Mart Vision Center 30-4176
Organization subpart
No
Provider details
NPI number
Authorized official
DEB LAUVER (SPECIALIST PLAN ENROLLMENT)
(479) 258-2115
Entity
Organization
Contact information
Practice address
21320 SW LANGER FARM, SHERWOOD, OR 97140
(503) 825-4055
(503) 825-0549
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 258-2115
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
05/07/2014
Last updated
08/11/2014
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