Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Henrico, VA

NPI number 1194256768 Active

Practice location

5001 Nine Mile Rd
Henrico, VA 23223-5732

Call (804) 253-0687 Map

Fax (804) 253-1505

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.

3 other providers at this address

Other eyewear supplier providers in Henrico

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NPI record

NPI: 1194256768
Entity type: Organization (Type 2)
Issued: Mar 24, 2017
Last updated: Mar 24, 2017
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc.

Other names

<unavail>
Walmart Vision Center 30-7032 · doing business as

Authorized official

Sarah C Little
Dir Healthcare Contract & Enroll
(479) 277-2500

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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 1194256768

Wal-Mart Stores East, LP's National Provider Identifier is 1194256768, issued on Mar 24, 2017. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Henrico, VA. The record was last updated on Mar 24, 2017.