Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Greenville, NC

NPI number 1225475577 Active

Practice location

4600 E. 10th Street
Greenville, NC 27858

Call (252) 917-6291 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.

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NPI record

NPI: 1225475577
Entity type: Organization (Type 2)
Issued: May 28, 2013
Last updated: May 28, 2013
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc

Other names

<unavail>
Wal-Mart Vision Center 30-5851 · doing business as

Authorized official

Laura Leavine
Manager of Government 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 1225475577

Wal-Mart Stores East, LP's National Provider Identifier is 1225475577, issued on May 28, 2013. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Greenville, NC. The record was last updated on May 28, 2013.