Organization
WAL-MART STORES INC
Active
Other names
Wal-Mart Vision Center 30-4611
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEVINE (MANGER OF GOVERMENT CONTRACTS)
(479) 204-8550
Entity
Organization
Contact information
Practice address
5701 SILVERHEEL ST, SHAWNEE, KS 66226-0001
(913) 535-5124
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
09/13/2013
Last updated
09/13/2013
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