Organization · Type 2 NPI

Wal-Mart Stores East LP

Eyewear Supplier · Jasper, GA

NPI number 1619282803 Active

Practice location

1100 Old Philadelphia Rd
Jasper, GA 30143

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.

7 other providers at this address

About NPI 1619282803

Wal-Mart Stores East LP's National Provider Identifier is 1619282803, issued on Aug 11, 2010. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Jasper, GA. The record was last updated on Aug 11, 2010.