Organization
WAL-MART STORES INC.
Active
Other names
Vision Center 30-4567
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY C WILKINSON (COMMERCIAL CONTRACTING SPECIALIST)
(479) 204-8320
Entity
Organization
Contact information
Practice address
7101 E 128TH ST., THORNTON, CO 80221
(303) 209-4339
Mailing address
702 SW 8TH STREET, BENTONVILLE, AR 72716-0235
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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