Organization
WAL-MART STORES, INC.
Active
Other names
Wal-Mart Vision Center 30-4865
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA LEVINE (DIRECTOR OF GOVERNMENT CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
5200 W 60TH STREET N, SIOUX FALLS, SD 57107-6504
(605) 906-6080
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
07/11/2014
Last updated
07/11/2014
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