Organization
WAL-MART STORES, INC.
Active
Parent organization
WAL-MART STORES, INC,
Other names
Walmart Vision Center 30-3893
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES, INC,
Authorized official
LAURA LEVINE (DIR HEALTHCARE ENROLLMENT&CONTRACTI)
(479) 204-8550
Entity
Organization
Contact information
Practice address
4000 IL ROUTE 173, ZION, IL 60099-5107
(479) 204-8705
Mailing address
702 SW 8TH ST, MAILSTOP 0445, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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