Organization
WAL-MART STORES INC.
Active
Other names
Vision center 30-6520
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SONYA M HURD (CONTRACT COORDINATOR)
(479) 204-8932
Entity
Organization
Contact information
Practice address
5565 20TH ST, VERO BEACH, FL 32966-4632
(772) 978-9385
Mailing address
702 SW 8RH ST, BENTONVILLE, AR 72716-0235
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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