| NPI | 1982036406 |
|---|---|
| Doing Business As | WAL-MART VISION CENTER 30-4903 |
| Entity Type | Organization |
| Authorized Contact | LAURA LEVINE Mgr Gove RN Ment Contracting 479-204-8550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-09 |