Organization · Type 2 NPI

Wal-Mart Stores East LP

Eyewear Supplier · Bradenton, FL

NPI number 1386917490 Active

Practice location

5810 Ranch Lake Blvd
Bradenton, FL 34202-3708

Call (941) 756-7975 Map

Mailing address

702 SW 8th St
Bentonville, AR 72716-6209

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 Bradenton

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NPI record

NPI: 1386917490
Entity type: Organization (Type 2)
Issued: Feb 21, 2012
Last updated: Feb 21, 2012
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

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Wal-Mart Vision Center 30-5727 · 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 1386917490

Wal-Mart Stores East LP's National Provider Identifier is 1386917490, issued on Feb 21, 2012. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Bradenton, FL. The record was last updated on Feb 21, 2012.