Organization
WAL-MART STORES, INC.
Active
Other names
Vision Center 30-1862
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIR. HEALTHCARE CONTRACTING & ENROL)
(479) 277-2500
Entity
Organization
Contact information
Practice address
1366 S RIVERSIDE AVE, RIALTO, CA 92376-7608
(909) 820-4514
(909) 820-4430
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
10/10/2006
Last updated
04/21/2017
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