Organization
WAL-MART STORES, INC. DBA WAL-MART
Active
Other names
Vision Center 3891
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J. SIMMONS (NPI ASSOCIATE)
(479) 277-9373
Entity
Organization
Contact information
Practice address
3900 FOUNTAIN SQUARE PL, WAUKEGAN, IL 60085-6705
(847) 473-2193
Mailing address
702 SW 8TH STREET, BENTONVILLE, AR 72716-0235
(479) 277-9373
(479) 277-8176
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
02/28/2007
Last updated
09/11/2025
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