Organization
WAL-MART STORES, INC.
Active
Other names
Vision Center 30-3422
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SABRINA SUTTON (NPI ASSOCIATE)
(479) 277-1175
Entity
Organization
Contact information
Practice address
2000 CLEMENTS BRIDGE RD, DEPTFORD, NJ 08096-2011
(856) 384-1993
Mailing address
702 SW 8TH ST., BENTONVILLE, AR 72716-0235
(479) 277-1175
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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