Organization · Type 2 NPI

Wal-Mart Stores East LP

Eyewear Supplier · Denham Springs, LA

NPI number 1043583784 Active

Practice location

34025 La Hwy 16
Denham Springs, LA 70706

Call (225) 667-6780 Map

Mailing address

702 SW 8th St
Bentonville, AR 72716-6209

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.

Another provider at this address

Valencia VernonPharmacist Denham Springs, LA NPI 1215350111

Other eyewear supplier providers in Denham Springs

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NPI record

NPI: 1043583784
Entity type: Organization (Type 2)
Issued: Feb 10, 2012
Last updated: Feb 10, 2012
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

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Wal-Mart Vision Center 30-4679 · doing business as

Authorized official

Dianna Painter
Enrollment Specialist
(479) 277-1238

Verify this record

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 1043583784

Wal-Mart Stores East LP's National Provider Identifier is 1043583784, issued on Feb 10, 2012. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Denham Springs, LA. The record was last updated on Feb 10, 2012.