Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Nashville, NC

NPI number 1922473461 Active

Practice location

1205 Eastern Ave
Nashville, NC 27856-1814

Call (252) 462-3017 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

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NPI record

NPI: 1922473461
Entity type: Organization (Type 2)
Issued: Dec 9, 2015
Last updated: Jan 3, 2017
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc.

Other names

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Wal-Mart Vision Center 30-4459 · 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 1922473461

Wal-Mart Stores East, LP's National Provider Identifier is 1922473461, issued on Dec 9, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Nashville, NC. The record was last updated on Jan 3, 2017.