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Organization

WAL-MART STORES TEXAS LLC

Active
Parent organization
WAL-MART STORES INC
Other names
Wal-Mart Vision Center 30-5672
Organization subpart
Yes

Provider details

NPI number
Legal business name
WAL-MART STORES INC
Authorized official
AMY POWERS (SPECIALIST, PLAN ENROLLMENT)
(479) 204-0709
Entity
Organization

Contact information

Practice address
2662 WEST LUCAS RD, LUCAS, TX 75002
(469) 675-8559
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
12/28/2012
Last updated
12/28/2012
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