Organization · Type 2 NPI

Wal-Mart Stores East, LP

Optician · Eureka, MO

NPI number 1780767061 Active

Practice location

131 Eureka Towne Center Dr
Eureka, MO 63025-1031

Call (636) 587-9775 Map

Fax (636) 587-9796

Mailing address

702 SW 8th St.
Bentonville, AR 72716-0235

Specialties and licenses

Taxonomy	Code	License
Optician Primary	156FX1800X	None listed
Eyewear Supplier	332H00000X	None listed

Optician: Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

5 other providers at this address

NPI record

NPI: 1780767061
Entity type: Organization (Type 2)
Issued: Oct 23, 2006
Last updated: May 18, 2023
Status: Active

Other names

<unavail>
Vision Center 30-0295 · doing business as
Vision Center 30-0295 · doing business as

Authorized official

Matt McMullin
Dir Enrollment Contracting
(479) 371-8711

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 1780767061

Wal-Mart Stores East, LP's National Provider Identifier is 1780767061, issued on Oct 23, 2006. The primary taxonomy on file is Optician (156FX1800X), and the practice location is in Eureka, MO. The record was last updated on May 18, 2023.