Organization
WAL-MART STORE TEXAS, LLC
Active
Parent organization
WAL-MART STORES, INC
Other names
Wal-Mart Vision Center 30-5479
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES, INC
Authorized official
LAURA LEVINE (MANAGER, GOV'T CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
1548 FM 685, PFLUGERVILLE, TX 78660-3576
(512) 252-0260
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-9373
(479) 277-8176
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
06/06/2013
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