Organization
WAL-MART STORES INC
Active
Other names
Walmart Vision Center 30-4068
Organization subpart
No
Provider details
NPI number
Authorized official
DEB LAUVER (SPECIALIST PLAN ENROLLMENT)
(479) 258-2115
Entity
Organization
Contact information
Practice address
1206 N CANYON CREEK PKWY, SPANISH FORK, UT 84660-2635
(801) 702-4974
(801) 702-4975
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 258-2115
(479) 258-2115
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/21/2015
Last updated
01/27/2015
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