Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Front Royal, VA

NPI number 1831564376 Active

Practice location

10 Riverton Commons Dr
Front Royal, VA 22630-6718

Call (540) 551-8157 Map

Fax (540) 635-9801

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.

8 other providers at this address

Other eyewear supplier providers in Front Royal

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NPI record

NPI: 1831564376
Entity type: Organization (Type 2)
Issued: Dec 9, 2015
Last updated: Dec 9, 2015
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc.

Other names

<unavail>
Wal-Mart Vision Center 30-5105 · 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 1831564376

Wal-Mart Stores East, LP's National Provider Identifier is 1831564376, issued on Dec 9, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Front Royal, VA. The record was last updated on Dec 9, 2015.