Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Orlando, FL

NPI number 1619425683 Active

Practice location

11930 Narcoossee Road
Orlando, FL 32832-0000

Call (407) 204-2035 Map

Mailing address

702 SW 8th St, Mail Stop 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.

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NPI record

NPI: 1619425683
Entity type: Organization (Type 2)
Issued: Sep 19, 2016
Last updated: Sep 19, 2016
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

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Wal-Mart Vision Center 30-4365 · doing business as

Authorized official

Laura Levine
Director, Healthcare Contracting
(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.

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About NPI 1619425683

Wal-Mart Stores East, LP's National Provider Identifier is 1619425683, issued on Sep 19, 2016. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Orlando, FL. The record was last updated on Sep 19, 2016.