Organization · Type 2 NPI

Wal-Mart Stores East LP

Eyewear Supplier · South Milwaukee, WI

NPI number 1689915514 Active

Practice location

222 N Chicago Ave
South Milwaukee, WI 53172

Call (414) 501-1122 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.

4 other providers at this address

NPI record

NPI: 1689915514
Entity type: Organization (Type 2)
Issued: Mar 1, 2013
Last updated: Mar 1, 2013
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc

Other names

<unavail>
Wal-Mart Vision Center 30-5667 · doing business as

Authorized official

Deb Lauver
Specialist Plan Enrollment
(479) 204-8741

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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 1689915514

Wal-Mart Stores East LP's National Provider Identifier is 1689915514, issued on Mar 1, 2013. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in South Milwaukee, WI. The record was last updated on Mar 1, 2013.