Organization
WAL-MART STORES, INC
Active
Other names
Walmart Vision Center 30-5396
Organization subpart
No
Provider details
NPI number
Authorized official
DEB LAUVER (SPECIALIST)
(479) 258-2115
Entity
Organization
Contact information
Practice address
1330 GOLDFISH FARM RD SE, ALBANY, OR 97322-5154
(541) 971-4087
(541) 928-6076
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/15/2015
Last updated
11/02/2015
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