Organization
WAL-MART STORES, INC.
Active
Other names
Walmart Vision Center 30-1531
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEVINE (DIR. HEALTHCARE CONTRACTING)
(479) 277-1242
Entity
Organization
Contact information
Practice address
365 LAKE MARIAN ROAD, CARPENTERSVILLE, IL 60110
(847) 426-5251
(847) 426-5286
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-1242
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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