Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Goshen, IN

NPI number 1053846345 Active

Practice location

4024 Elkhart Rd Ste 2
Goshen, IN 46526-5801

Call (479) 204-1258 Map

Fax (479) 277-4331

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

TaxonomyCodeLicense
Optician 156FX1800XNone listed
Eyewear Supplier Primary 332H00000XNone listed

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

2 other providers at this address

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About NPI 1053846345

Wal-Mart Stores East, LP's National Provider Identifier is 1053846345, issued on Apr 25, 2017. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Goshen, IN. The record was last updated on Apr 25, 2017.