Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Baden, PA

NPI number 1902221773 Active

Practice location

1500 Economy Way
Baden, PA 15005-1232

Call (724) 869-2596 Map

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.

5 other providers at this address

NPI record

NPI: 1902221773
Entity type: Organization (Type 2)
Issued: Mar 3, 2014
Last updated: Mar 3, 2014
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc.

Other names

<unavail>
Wal-Mart Vision Center 30-4643 · doing business as

Authorized official

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

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.

Is this your record? How to update it.

About NPI 1902221773

Wal-Mart Stores East, LP's National Provider Identifier is 1902221773, issued on Mar 3, 2014. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Baden, PA. The record was last updated on Mar 3, 2014.