Wal-Mart Stores, INC.
Eyewear Supplier (Equipment, not the service) in Sherwood, AR. Organization (NPI-2).
NPI number1356726558
StatusActive
Last updated in NPPESJul 29, 2015
Details
- NPI
- 1356726558
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores, INC.
- Organization subpart
- Yes
- Enumeration date
- Jul 29, 2015
- Last updated
- Jul 29, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
| 156FX1800X | Technician/Technologist, Optician | – | – |
Other names
- Walmart Vision Center 30-0007 (Doing Business As)
Practice location
9053 Highway 107Sherwood, AR 72120-2933
Phone 479-204-8705
Mailing address
702 Sw 8th StMailstop 0445
Bentonville, AR 72716-0445
Authorized official
Laura Levine
Dir Healthcare Enrolment&Conttract
4792048550
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