Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Hanson, KY

NPI number 1407200280 Active

Practice location

420 Factory Outlet Dr
Hanson, KY 42413-9514

Call (270) 821-7177 Map

Fax (270) 821-7202

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.

10 other providers at this address

NPI record

NPI: 1407200280
Entity type: Organization (Type 2)
Issued: Apr 19, 2016
Last updated: Apr 19, 2016
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc.

Other names

<unavail>
Walmart Vision Center 30-0655 · doing business as

Authorized official

Laura Levine
Dir. Healthcare Contracting
(479) 277-1242

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.

Is this your record? How to update it.

About NPI 1407200280

Wal-Mart Stores East, LP's National Provider Identifier is 1407200280, issued on Apr 19, 2016. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Hanson, KY. The record was last updated on Apr 19, 2016.