Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Moon Township, PA

NPI number 1053869362 Active

Practice location

7500 University Boulevard
Moon Township, PA 15108-0000

Call (479) 204-8550 Map

Fax (412) 262-2306

Mailing address

702 SW 8th St, Ms 0445
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.

Another provider at this address

Wal-Mart Stores East LPPharmacy Moon Township, PA NPI 1588110837

NPI record

NPI: 1053869362
Entity type: Organization (Type 2)
Issued: Sep 15, 2016
Last updated: Sep 15, 2016
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc.

Other names

<unavail>
Walmart Vision Center 30-4644 · doing business as

Authorized official

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

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 1053869362

Wal-Mart Stores East, LP's National Provider Identifier is 1053869362, issued on Sep 15, 2016. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Moon Township, PA. The record was last updated on Sep 15, 2016.