Organization
WAL-MART STORES, INC.
Active
Other names
Vision Center 30-3445
Organization subpart
No
Provider details
NPI number
Authorized official
SHIELA F DOUGLAS (NPI ASSOCIATE)
(479) 273-8048
Entity
Organization
Contact information
Practice address
1355 MCCORD ROAD S, HOLLAND, OH 43528
(419) 867-0155
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-6209
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
09/11/2025
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