Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Shepherdsville, KY

NPI number 1457742173 Active

Practice location

545 Conestoga Pkwy
Shepherdsville, KY 40165-6666

Call (502) 281-5006 Map

Fax (502) 281-5013

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.

3 other providers at this address

NPI record

NPI: 1457742173
Entity type: Organization (Type 2)
Issued: Feb 17, 2015
Last updated: Feb 17, 2015
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc

Other names

<unavail>
Walmart Vision Center 30-4118 · doing business as

Authorized official

Laura Levine
Director of Healthcare Contracting
(479) 204-8550

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 1457742173

Wal-Mart Stores East, LP's National Provider Identifier is 1457742173, issued on Feb 17, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Shepherdsville, KY. The record was last updated on Feb 17, 2015.