Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Wesley Chapel, FL

NPI number 1174933741 Active

Practice location

28500 State Road 54
Wesley Chapel, FL 33543

Call (479) 277-2500 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.

7 other providers at this address

Other eyewear supplier providers in Wesley Chapel

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NPI record

NPI: 1174933741
Entity type: Organization (Type 2)
Issued: May 5, 2014
Last updated: May 5, 2014
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc.

Other names

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Walmart Vision Center 30-3418 · 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 1174933741

Wal-Mart Stores East, LP's National Provider Identifier is 1174933741, issued on May 5, 2014. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Wesley Chapel, FL. The record was last updated on May 5, 2014.