NPI 1205260148

Wal-Mart Stores INC

Organisation Eyewear Supplier Medford, OR

Practice location

Address: 3615 Crater Lake Hwy, Medford, OR 97504-9259
Phone: (541) 772-3451
Mailing address: 702 SW 8th St, Bentonville, AR 72716-0445

Authorised official

Name: Laura Levine
Title: Manager of Goverment Contracts
Phone: (479) 204-8550

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Oregon →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Oregon →

Registry record

NPI: 1205260148
Entity type: Organization
NPI issued: 28 Aug 2013
Record last updated: 28 Aug 2013

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.