Organization
WALMART VISION CENTER #1376
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD VALENTINE (MANAGER)
(615) 824-1344
Entity
Organization
Contact information
Practice address
204 N ANDERSON LN, HENDERSONVILLE, TN 37075-6926
(615) 824-1344
(615) 824-1507
Mailing address
204 N ANDERSON LN, HENDERSONVILLE, TN 37075-6926
(615) 824-1344
(615) 824-1507
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
318
TN
Other
Enumeration date
11/16/2006
Last updated
08/22/2020
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