Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Hamburg, PA

NPI number 1265802730 Active

Practice location

1800 Tilden Ridge Dr
Hamburg, PA 19526-8181

Call (610) 562-4580 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.

6 other providers at this address

Other eyewear supplier providers in Hamburg

Randall C Mengel,odEyewear Supplier Hamburg, PA NPI 1073790549

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NPI record

NPI: 1265802730
Entity type: Organization (Type 2)
Issued: Sep 28, 2015
Last updated: Oct 5, 2015
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc.

Other names

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Wal-Mart Vision Center 30-4612 · doing business as

Authorized official

Laura Levine
Dir Healthcare Contract & 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 1265802730

Wal-Mart Stores East, LP's National Provider Identifier is 1265802730, issued on Sep 28, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Hamburg, PA. The record was last updated on Oct 5, 2015.