Organization
WAL-MART STORES, INC
Active
Other names
Walmart Vision Center 30-4641
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEVINE (DIRECTOR)
(479) 204-8550
Entity
Organization
Contact information
Practice address
12300 S IL ROUTE 47, HUNTLEY, IL 60142-9634
(479) 204-8550
(479) 277-4331
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
09/18/2015
Last updated
09/18/2015
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