Organization · Type 2 NPI

Wal-Mart Stores East LP

Eyewear Supplier · Debry, VT

NPI number 1588112809 Active

Practice location

5228 East Main St.
Debry, VT 05829-0000

Call (802) 624-8007 Map

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.

NPI record

NPI: 1588112809
Entity type: Organization (Type 2)
Issued: Sep 15, 2016
Last updated: Oct 3, 2016
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

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Wal-Mart Vision Center 30-4156 · doing business as

Authorized official

Laura Levine
Director Government Contracting
(479) 204-8550

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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 1588112809

Wal-Mart Stores East LP's National Provider Identifier is 1588112809, issued on Sep 15, 2016. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Debry, VT. The record was last updated on Oct 3, 2016.