NPI 1063880375

Wal-Mart Stores, INC.

Organisation Eyewear Supplier Augusta, KS

Practice location

Address: 719 W 7th Ave, Augusta, KS 67010-1314
Phone: (316) 347-2724
Fax: (316) 775-3168
Mailing address: 702 SW 8th St, Bentonville, AR 72716-0445

Authorised official

Name: Deb Lauver
Title: Specialist Plan Enrollment
Phone: (479) 258-2115

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Kansas →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Kansas →

Registry record

NPI: 1063880375
Entity type: Organization
NPI issued: 3 Sep 2015
Record last updated: 6 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.