NPI | 1689736233 |
---|---|
Doing Business As | WAL-MART VISION CENTER 30-1017 |
Entity Type | Organization |
Authorized Contact | BJ RICE Provider Enrollment Specialist 479-277-9835 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
Additional Taxonomies | 332H00000X Eyewear Supplier |
Enumeration Date | 2006-12-13 |
Last Update Date | 2020-08-22 |