Organization · Type 2 NPI

Wal-Mart Stores East LP

Eyewear Supplier · North Tonawanda, NY

NPI number 1104180256 Active

Practice location

866 Niagara Falls Blvd
North Tonawanda, NY 14120-2006

Call (716) 243-4159 Map

Mailing address

702 SW 8th St, Mailstop 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.

Other eyewear supplier providers in North Tonawanda

Mid-City OpticiansEyewear Supplier North Tonawanda, NY NPI 1225168990

See all in North Tonawanda →

NPI record

NPI: 1104180256
Entity type: Organization (Type 2)
Issued: Jul 3, 2012
Last updated: May 16, 2016
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

<unavail>
Wal-Mart Vision Center 30-4597 · 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.

Is this your record? How to update it.

About NPI 1104180256

Wal-Mart Stores East LP's National Provider Identifier is 1104180256, issued on Jul 3, 2012. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in North Tonawanda, NY. The record was last updated on May 16, 2016.