Organization · Type 2 NPI

Wal-Mart Stores East, LP

Optician · Ooltewah, TN

NPI number 1467517102 Active

Practice location

5588 Little Debbie Pkwy
Ooltewah, TN 37363-4356

Call (423) 238-1069 Map

Mailing address

702 SW 8th St.
Bentonville, AR 72716-0235

Specialties and licenses

Taxonomy	Code	License
Optician Primary	156FX1800X	None listed
Eyewear Supplier	332H00000X	None listed

Optician: Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

5 other providers at this address

NPI record

NPI: 1467517102
Entity type: Organization (Type 2)
Issued: Dec 22, 2006
Last updated: Dec 22, 2021
Status: Active

Other names

<unavail>
Wal-Mart Vision Center 30-3835 · doing business as
Wal-Mart Vision Center 30-3835 · doing business as

Authorized official

BJ Rice
Provider Enrollment Specialist
(479) 277-9835

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 1467517102

Wal-Mart Stores East, LP's National Provider Identifier is 1467517102, issued on Dec 22, 2006. The primary taxonomy on file is Optician (156FX1800X), and the practice location is in Ooltewah, TN. The record was last updated on Dec 22, 2021.