Organization · Type 2 NPI

Wal-Mart Stores East LP

Eyewear Supplier · Covington, GA

NPI number 1821369356 Active

Practice location

4200 Salem Rd
Covington, GA 30016

Call (678) 342-8302 Map

Mailing address

702 SW 8th St
Bentonville, AR 72716-6209

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.

7 other providers at this address

Other eyewear supplier providers in Covington

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NPI record

NPI: 1821369356
Entity type: Organization (Type 2)
Issued: Jan 13, 2012
Last updated: Jan 13, 2012
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

<unavail>
Wal-Mart Vision Center 30-4558 · doing business as

Authorized official

Dianna Painter
Enrollment Specialist
(479) 277-1238

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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 1821369356

Wal-Mart Stores East LP's National Provider Identifier is 1821369356, issued on Jan 13, 2012. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Covington, GA. The record was last updated on Jan 13, 2012.