Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Augusta, GA

NPI number 1144645508 Active

Practice location

3338 Wrightsboro Rd
Augusta, GA 30909-2811

Call (706) 941-5328 Map

Mailing address

702 SW 8th St
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.

5 other providers at this address

Other eyewear supplier providers in Augusta

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NPI record

NPI: 1144645508
Entity type: Organization (Type 2)
Issued: Feb 21, 2014
Last updated: Feb 21, 2014
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc.

Other names

<unavail>
Walmart Vision Center 30-4144 · doing business as

Authorized official

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

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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 1144645508

Wal-Mart Stores East, LP's National Provider Identifier is 1144645508, issued on Feb 21, 2014. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Augusta, GA. The record was last updated on Feb 21, 2014.