Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Darlington, SC

NPI number 1164877189 Active

Practice location

251 Andover Place
Darlington, SC 29532

Call (843) 393-6861 Map

Fax (843) 393-2427

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.

NPI record

NPI: 1164877189
Entity type: Organization (Type 2)
Issued: Apr 27, 2016
Last updated: Jan 3, 2017
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc.

Other names

<unavail>
Walmart Vision Center 30-7188 · 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 1164877189

Wal-Mart Stores East, LP's National Provider Identifier is 1164877189, issued on Apr 27, 2016. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Darlington, SC. The record was last updated on Jan 3, 2017.