Organization · Type 2 NPI

Wal-Mart Stores, Inc.

Eyewear Supplier · Vancouver, WA

NPI number 1821474032 Active

Practice location

14505 NE Fourth Plain Blvd
Vancouver, WA 98682-5003

Call (479) 277-1242 Map

Fax (479) 277-4331

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.

6 other providers at this address

Other eyewear supplier providers in Vancouver

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NPI record

NPI: 1821474032
Entity type: Organization (Type 2)
Issued: Aug 11, 2015
Last updated: Aug 11, 2015
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc.

Other names

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Wal-Mart Vision Center 30-5461 · doing business as

Authorized official

Laura Levine
Director Healthcare Contracting
(479) 277-1242

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 1821474032

Wal-Mart Stores, Inc.'s National Provider Identifier is 1821474032, issued on Aug 11, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Vancouver, WA. The record was last updated on Aug 11, 2015.