Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Lincolnton, NC

NPI number 1043392483 Active

Practice location

401 N Generals Blvd
Lincolnton, NC 28092

Call (704) 732-0917 Map

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.

NPI record

NPI: 1043392483
Entity type: Organization (Type 2)
Issued: Oct 19, 2006
Last updated: Jul 28, 2011
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

<unavail>
Wal-Mart Vision Center 30-1209 · doing business as

Authorized official

Dianna M. Painter
Enrollment Specialist
(479) 277-1238

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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 1043392483

Wal-Mart Stores East, LP's National Provider Identifier is 1043392483, issued on Oct 19, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Lincolnton, NC. The record was last updated on Jul 28, 2011.