Organization · Type 2 NPI

Wal-Mart Stores East LP

Eyewear Supplier · Haymarket, VA

NPI number 1336497049 Active

Practice location

6530 Trading Square
Haymarket, VA 20169

Call (703) 753-5694 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.

NPI record

NPI: 1336497049
Entity type: Organization (Type 2)
Issued: Aug 28, 2012
Last updated: Aug 28, 2012
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

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Wal-Mart Vision Center 30-3077 · doing business as

Authorized official

Dianna Painter
Enrollment Specialist
(479) 277-1238

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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 1336497049

Wal-Mart Stores East LP's National Provider Identifier is 1336497049, issued on Aug 28, 2012. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Haymarket, VA. The record was last updated on Aug 28, 2012.