Organization
WAL-MART STORES, INC.
Active
Other names
Vision Center 30-0851
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SABRINA SUTTON (NPI ASSOCIATE)
(575) 378-8050
Entity
Organization
Contact information
Practice address
1800 W HIGHWAY 70, RUIDOSO DOWNS, NM 88346-9596
(575) 378-8050
Mailing address
702 SW 8TH ST., BENTONVILLE, AR 72716-0235
(479) 277-1175
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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