Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Lees Summit, MO

NPI number 1255874970 Active

Practice location

3410 SW Market St
Lees Summit, MO 64082

Call (816) 623-3285 Map

Fax (816) 623-3264

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.

4 other providers at this address

Other eyewear supplier providers in Lees Summit

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NPI record

NPI: 1255874970
Entity type: Organization (Type 2)
Issued: Nov 29, 2016
Last updated: Dec 7, 2016
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc

Other names

<unavail>
Walmart Vision Center 30-4590 · doing business as

Authorized official

Laura Levine
Dir Healthcare Contracting
(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 1255874970

Wal-Mart Stores East, LP's National Provider Identifier is 1255874970, issued on Nov 29, 2016. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Lees Summit, MO. The record was last updated on Dec 7, 2016.