Organization
WAL MART STORES TEXAS LLC
Active
Parent organization
WAL-MART STORES INC
Other names
Wal-Mart Vision Center 30-1235
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES INC
Authorized official
LAURA LEVINE (MGR GOV CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
5025 NW LOOP 410, SAN ANTONIO, TX 78229-5313
(210) 523-1091
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
08/18/2010
Last updated
06/05/2013
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