Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Brooklyn, CT

NPI number 1710312574 Active

Practice location

450 Providence Rd
Brooklyn, CT 06234-1823

Call (860) 774-1656 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.

10 other providers at this address

NPI record

NPI: 1710312574
Entity type: Organization (Type 2)
Issued: Sep 11, 2013
Last updated: Sep 11, 2013
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

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Wal-Mart Vision Center 30-5777 · doing business as

Authorized official

Laura Levine
Manager of 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 1710312574

Wal-Mart Stores East, LP's National Provider Identifier is 1710312574, issued on Sep 11, 2013. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Brooklyn, CT. The record was last updated on Sep 11, 2013.