Organization
WALMART INC.
Active
Other names
Walmart Vision Center 30-1604
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE GARVEY (DIRECTOR OF HEALTH CARE CONTRACTING)
(479) 277-2611
Entity
Organization
Contact information
Practice address
1200 N LACROSSE ST, RAPID CITY, SD 57701-6965
(605) 348-4881
(605) 348-3783
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
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
12/04/2023
Last updated
03/08/2024
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