Organization
WAL-MART STORES, INC.
Active
Other names
Walmart Vision Center 30-1600
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEVINE (DIRECTOR OF GOVERNMENT CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
201 E BOWMAN RD, RIDGECREST, CA 93555
(760) 371-4974
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 204-8550
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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