Organization · Type 2 NPI
Wal-Mart Stores East, LP
Eyewear Supplier · Daville, IN
NPI number
1407221104
Active
Practice location
1894 Ridge Ave
Daville, IN 46122
Fax (479) 277-4331
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.
4 other providers at this address
About NPI 1407221104
Wal-Mart Stores East, LP's National Provider Identifier is 1407221104, issued on Dec 7, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Daville, IN. The record was last updated on Dec 7, 2015.