Organization · Type 2 NPI

Wal-Mart Stores East LP

Eyewear Supplier · Bridgeton, MO

NPI number 1487735973 Active

Practice location

11900 St Charles Rock Rd
Bridgeton, MO 63044

Call (314) 291-2300 Map

Fax (314) 291-8432

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.

Other eyewear supplier providers in Bridgeton

Luxottica of America IncEyewear Supplier Bridgeton, MO NPI 1629705058

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NPI record

NPI: 1487735973
Entity type: Organization (Type 2)
Issued: Oct 18, 2006
Last updated: Jul 9, 2012
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

<unavail>
Wal-Mart Vision Center 30-1188 · doing business as

Authorized official

Dianna Painter
Enrollment Specialist
(479) 277-1238

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 1487735973

Wal-Mart Stores East LP's National Provider Identifier is 1487735973, issued on Oct 18, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Bridgeton, MO. The record was last updated on Jul 9, 2012.