Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Whitehall, MI

NPI number 1720527955 Active

Practice location

2755 W Holton-Whitehall Rd
Whitehall, MI 49461

Call (231) 821-9087 Map

Fax (231) 821-9089

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.

NPI record

NPI: 1720527955
Entity type: Organization (Type 2)
Issued: Feb 21, 2017
Last updated: Feb 23, 2017
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc.

Other names

<unavail>
Walmart Vision Center 30-3458 · doing business as

Authorized official

Sarah Little
Director, Healthcare & Contracting
(479) 277-2500

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.

Is this your record? How to update it.

About NPI 1720527955

Wal-Mart Stores East, LP's National Provider Identifier is 1720527955, issued on Feb 21, 2017. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Whitehall, MI. The record was last updated on Feb 23, 2017.