Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Warren, MI

NPI number 1386065720 Active

Practice location

29176 Van Dyke Ave
Warren, MI 48093-6764

Call (586) 467-0264 Map

Fax (586) 558-4753

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.

7 other providers at this address

Other eyewear supplier providers in Warren

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NPI record

NPI: 1386065720
Entity type: Organization (Type 2)
Issued: Jan 3, 2014
Last updated: Feb 5, 2014
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc

Other names

<unavail>
Wal-Mart Vision Center 30-4424 · doing business as

Authorized official

Deb Lauver
Specialist Plan Enrollment
(479) 258-2115

Verify this record

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 1386065720

Wal-Mart Stores East, LP's National Provider Identifier is 1386065720, issued on Jan 3, 2014. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Warren, MI. The record was last updated on Feb 5, 2014.