Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Fall River, MA

NPI number 1477924009 Active

Practice location

638 Quequechan St
Fall River, MA 02721-4005

Call (508) 730-2978 Map

Fax (508) 730-1631

Mailing address

702 SW 8th St, Mailstop 0445
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

Other eyewear supplier providers in Fall River

See all in Fall River →

NPI record

NPI: 1477924009
Entity type: Organization (Type 2)
Issued: Oct 8, 2015
Last updated: Oct 8, 2015
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc.

Other names

<unavail>
Wal-Mart Vision Center 30-3560 · doing business as

Authorized official

Laura Levine
Dir Healthcare Contracting & Enroll
(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.

Is this your record? How to update it.

About NPI 1477924009

Wal-Mart Stores East, LP's National Provider Identifier is 1477924009, issued on Oct 8, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Fall River, MA. The record was last updated on Oct 8, 2015.