Wal-Mart Stores, Inc.
NPI #1235684135 in Olympia Fields, Illinois
Provider Information
- NPI Number
- 1235684135
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores, Inc.
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Aug 20, 2016
- Last Updated
- Aug 20, 2016
Practice Location
- Address
- 21000 WESTERN AVE
- City
- Olympia Fields
- State
- Illinois
- ZIP Code
- 60461-1900
- Phone
- (708) 898-9112
Authorized Official
- Name
- LAURA LEVINE
- Title
- DR HEALTHCARE CONTRACT AND ENROLL
- Phone
- (479) 204-8550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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