Organization
WAL-MART STORES TEXAS, LLC
Active
Parent organization
WAL-MART STORES, INC
Other names
Wal-Mart Vision Center 30-2980
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES, INC
Authorized official
LAURA LEVINE (MGR GOV CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
8520 N BEACH ST, FORT WORTH, TX 76244-4918
(817) 514-6090
(817) 514-9689
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 204-8550
(479) 277-4337
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/24/2006
Last updated
06/26/2013
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