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Organization

WAL-MART STORES, INC

Active
Other names
Vision Center 30-2794
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE D GENTILE (NPI COORDINATOR)
(316) 788-5580
Entity
Organization

Contact information

Practice address
777 N MAIN ST, EPHRAIM, UT 84627-1165
(435) 283-8189
Mailing address
702 SW 8TH ST., BENTONVILLE, AR 72716-0235

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
10/24/2006
Last updated
08/22/2020
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