Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Sunrise, FL

NPI number 1023477320 Active

Practice location

3306 N University Dr
Sunrise, FL 33351-6720

Call (954) 331-5929 Map

Fax (954) 572-3157

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Optician	156FX1800X	None listed
Eyewear Supplier Primary	332H00000X	None listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

6 other providers at this address

Other eyewear supplier providers in Sunrise

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NPI record

NPI: 1023477320
Entity type: Organization (Type 2)
Issued: Feb 15, 2016
Last updated: Feb 15, 2016
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc.

Other names

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Walmart Vision Center 30-1349 · doing business as

Authorized official

Laura Levine
Dir Healthcare Contract & Enroll
(479) 204-8550

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023477320

Wal-Mart Stores East, LP's National Provider Identifier is 1023477320, issued on Feb 15, 2016. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Sunrise, FL. The record was last updated on Feb 15, 2016.