Organization · Type 2 NPI

Wal-Mart Stores East LP

Eyewear Supplier · West Brownsville, PA

NPI number 1356685663 Active

Practice location

134 Daniel Kendall Dr.
West Brownsville, PA 15417

Call (724) 785-3204 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: 1356685663
Entity type: Organization (Type 2)
Issued: Nov 27, 2012
Last updated: Nov 27, 2012
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

<unavail>
Wal-Mart Vision Center 30-4501 · doing business as

Authorized official

Amy Powers
Specialist, Plan Enrollment
(479) 204-0709

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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 1356685663

Wal-Mart Stores East LP's National Provider Identifier is 1356685663, issued on Nov 27, 2012. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in West Brownsville, PA. The record was last updated on Nov 27, 2012.