Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Philadelphia, PA

NPI number 1366858607 Active

Practice location

4301 Byberry Rd
Philadelphia, PA 19154-3112

Call (479) 277-2500 Map

Mailing address

702 SW 8th St, Mailstop 0445
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.

2 other providers at this address

Other eyewear supplier providers in Philadelphia

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NPI record

NPI: 1366858607
Entity type: Organization (Type 2)
Issued: Jul 8, 2014
Last updated: Jul 8, 2014
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc.

Other names

<unavail>
Walmart Vision Center 30-2650 · 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 1366858607

Wal-Mart Stores East, LP's National Provider Identifier is 1366858607, issued on Jul 8, 2014. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 8, 2014.