Organization
WAL-MART STORES, INC.
Active
Other names
WalMart Vision Center 30-4355
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON FARMER (ENROLLMENT SPECIALIST)
(479) 277-1242
Entity
Organization
Contact information
Practice address
715 N MAIN STREET, TAYLOR, AZ 85939
(928) 536-6885
(928) 536-7933
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-1242
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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