Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Sykesville, MD

NPI number 1356712103 Active

Practice location

6400A Sykesville Rd Ste 1
Sykesville, MD 21784

Call (410) 549-5491 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: 1356712103
Entity type: Organization (Type 2)
Issued: Oct 19, 2015
Last updated: Oct 28, 2015
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc.

Other names

<unavail>
Wal-Mart Vision Center 30-2436 · doing business as

Authorized official

Laura Levine
Dir Healthcare Contracting &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 1356712103

Wal-Mart Stores East, LP's National Provider Identifier is 1356712103, issued on Oct 19, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Sykesville, MD. The record was last updated on Oct 28, 2015.