Organization
WAL-MART STORES, INC.
Active
Other names
Walmart Vision Center 30-0749
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
3105 GRAND AVE, AMES, IA 50010-4604
(515) 441-8127
(515) 233-7171
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
02/09/2017
Last updated
03/01/2022
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