Organization · Type 2 NPI

Wal-Mart Stores East LP

Eyewear Supplier · Atlanta, GA

NPI number 1659703429 Active

Practice location

1105 Research Center Atlanta Dr SW
Atlanta, GA 30331-8592

Call (479) 277-2500 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.

Another provider at this address

Wal-Mart Stores East LPCommunity/Retail Pharmacy Atlanta, GA NPI 1952743445

Other eyewear supplier providers in Atlanta

See all in Atlanta →

NPI record

NPI: 1659703429
Entity type: Organization (Type 2)
Issued: Aug 5, 2013
Last updated: Aug 5, 2013
Status: Active
Subpart: Yes of Wal-Mart Stores Inc.

Other names

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Wal-Mart Vision Center 30-3741 · doing business as

Authorized official

Laura Levine
MGR Government 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 1659703429

Wal-Mart Stores East LP's National Provider Identifier is 1659703429, issued on Aug 5, 2013. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Atlanta, GA. The record was last updated on Aug 5, 2013.