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Organization

WAL-MART STORES INC.

Active
Other names
Vision Center 30-0775
Organization subpart
No

Provider details

NPI number
Authorized official
MISS SABRINA N SUTTON (NPI ASSOCIATE)
(479) 277-8174
Entity
Organization

Contact information

Practice address
659 KNOX SQUARE DR, GALESBURG, IL 61401
(309) 344-1180
Mailing address
702 SW 8TH STREET, BENTONVILLE, AR 72716-0235
(479) 277-1175
(479) 277-8174

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
06/25/2007
Last updated
08/22/2020
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