Organization
WAL-MART STORES TEXAS, LLC
Active
Parent organization
WAL-MART STORES INC
Other names
Wal-Mart Vision Center 30-0353
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES INC
Authorized official
LAURA LEVINE (MANAGER GOV CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
2121 STATE HIGHWAY 16 S, GRAHAM, TX 76450-4615
(940) 521-0910
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
10/17/2006
Last updated
05/29/2013
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