Organization
WAL-MART STORES, INC.
Active
Other names
Walmart Vision Cneter 30-4272
Organization subpart
No
Provider details
NPI number
Authorized official
DEB LAUVER (SPECIALIST)
(479) 258-2115
Entity
Organization
Contact information
Practice address
1150 S 100 W, LOGAN, UT 84321-5573
(435) 754-3459
(435) 787-4898
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 258-2115
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/15/2015
Last updated
10/06/2015
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