Wal-Mart Stores, INC
NPI #1003964776 in Lakewood, Colorado
Provider Information
- NPI Number
- 1003964776
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores, INC
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Jan 8, 2007
- Last Updated
- Sep 13, 2007
Practice Location
Authorized Official
- Name
- MR. G WESLEY CRAINSHAW III
- Title
- PROVIDER ENROLLMENT SPECIALIST
- Phone
- (479) 277-1850
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
| Technician/Technologist - Optician — Optician |
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