| NPI | 1104361500 |
|---|---|
| Doing Business As | WALMART VISION CENTER 30-1176 |
| Entity Type | Organization |
| Authorized Contact | DEB LAUVER Specialist Plan Enrollment 479-258-2115 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2016-12-21 |