Organization
WAL-MART STORES, INC.
Active
Other names
Wal-Mart Vision Center 30-3093
Organization subpart
No
Provider details
NPI number
Authorized official
DEB LAUVER (SPECIALIST PLAN ENROLLMENT)
(479) 204-8741
Entity
Organization
Contact information
Practice address
795 W OVERLAND RD, MERIDIAN, ID 83642
(208) 917-6905
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 204-8741
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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