Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Little Egg Harbor, NJ

NPI number 1780032987 Active

Practice location

631 Rt. 9 South
Little Egg Harbor, NJ 08087-3517

Call (609) 296-7858 Map

Mailing address

702 SW 8th St, Mailstop 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.

NPI record

NPI: 1780032987
Entity type: Organization (Type 2)
Issued: May 27, 2016
Last updated: May 27, 2016
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc.

Other names

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Walmart Vision Center 30-3830 · doing business as

Authorized official

Laura Levine
Dir Healthcare Contract & Enroll
(479) 204-8550

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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 1780032987

Wal-Mart Stores East, LP's National Provider Identifier is 1780032987, issued on May 27, 2016. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Little Egg Harbor, NJ. The record was last updated on May 27, 2016.