Organization · Type 2 NPI

Wal-Mart Stores East , LP

Optician · St. Johns, FL

NPI number 1063992378 Active

Practice location

845 Durbin Pavilion Dr
St. Johns, FL 32259-0000

Call (479) 277-9170 Map

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

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

Optician: Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

4 other providers at this address

NPI record

NPI: 1063992378
Entity type: Organization (Type 2)
Issued: Aug 16, 2018
Last updated: Aug 16, 2018
Status: Active

Other names

<unavail>
Walmart Vision Center 30-0928 · doing business as
Walmart Vision Center 30-0928 · doing business as

Authorized official

Sarah Little
Director of Healthcare Contracting
(479) 277-2500

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 1063992378

Wal-Mart Stores East , LP's National Provider Identifier is 1063992378, issued on Aug 16, 2018. The primary taxonomy on file is Optician (156FX1800X), and the practice location is in St. Johns, FL. The record was last updated on Aug 16, 2018.