Organization · NPI-2
Wal-Mart Stores INC
Eyewear Supplier (Equipment, not the service) · Little Rock, AR
NPI number1689924987
StatusActive
Last updated in NPPESSep 13, 2012
Details
- NPI
- 1689924987
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores INC
- Organization subpart
- No
- Enumeration date
- Sep 13, 2012
- Last updated
- Sep 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
| 156FX1800X | Technician/Technologist, Optician | – | – |
Other names
- Wal-Mart Vision Center 30-5706 (Doing Business As)
Practice location
700 S Bowman RdLittle Rock, AR 72211-3616
Phone 501-978-0050
Mailing address
702 Sw8th StBentonville, AR 72716-0445
Authorized official
Dianna Painter
Enrollment Specialist
4792771238
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