Organization
WAL-MART STORES, INC
Active
Other names
Vision Center 30-5070
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE D GENTILE (NPI COORDINATOR)
(316) 788-5580
Entity
Organization
Contact information
Practice address
5200 S FORT APACHE RD, LAS VEGAS, NV 89148-1722
(702) 367-4001
Mailing address
702 SW. 8TH ST., BENTONVILLE, AR 72716
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
09/11/2025
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