Organization
WAL-MART STORES, INC.
Active
Other names
Wal-Mart Vision Center 30-1695
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIR. HEALTHCARE CONTRACTING & ENROL)
(479) 277-2500
Entity
Organization
Contact information
Practice address
1424 HIGHWAY 2 E, DEVILS LAKE, ND 58301-4000
(701) 662-2170
(701) 662-2531
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
03/26/2014
Last updated
05/09/2017
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