Organization
WAL MART STORES, INC.
Active
Other names
Vision Center 30-2617
Organization subpart
No
Provider details
NPI number
Authorized official
MR. G WESLEY CRAINSHAW III (PROVIDER ENROLLMENT SPECIALIST)
(479) 277-1850
Entity
Organization
Contact information
Practice address
3010 POTATO RD, WINNEMUCCA, NV 89445-3665
(775) 625-3777
(775) 623-0303
Mailing address
702 SW 8TH STREET, BENTONVILLE, AR 72716-0235
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us