Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Whitewater, WI

NPI number 1548639784 Active

Practice location

1362 W Main St
Whitewater, WI 53190-1504

Fax (479) 277-4331

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

TaxonomyCodeLicense
Optician 156FX1800XNone listed
Eyewear Supplier Primary 332H00000XNone 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

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About NPI 1548639784

Wal-Mart Stores East, LP's National Provider Identifier is 1548639784, issued on Sep 17, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Whitewater, WI. The record was last updated on Sep 17, 2015.