Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Hamilton, NJ

NPI number 1205381464 Active

Practice location

1750 Nottingham Way
Hamilton, NJ 08619-3551

Call (609) 438-4091 Map

Fax (609) 890-2948

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.

8 other providers at this address

Other eyewear supplier providers in Hamilton

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NPI record

NPI: 1205381464
Entity type: Organization (Type 2)
Issued: Aug 17, 2016
Last updated: Oct 3, 2016
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc.

Other names

<unavail>
Wal-Mart Vision Center 30-5012 · doing business as

Authorized official

Laura Levine
Director Healthcare Contracting
(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 1205381464

Wal-Mart Stores East, LP's National Provider Identifier is 1205381464, issued on Aug 17, 2016. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Hamilton, NJ. The record was last updated on Oct 3, 2016.