| NPI | 1053786509 |
|---|---|
| Doing Business As | WAL-MART VISION CENTER 30-0629 |
| Entity Type | Organization |
| Authorized Contact | LAURA LEVINE Dir Healthcare Contract & Enroll 479-204-8550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |