Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Gainesville, FL

NPI number 1972840098 Active

Practice location

5700 NW 34th St
Gainesville, FL 32653-2016

Call (352) 378-0619 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.

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NPI record

NPI: 1972840098
Entity type: Organization (Type 2)
Issued: Jan 9, 2013
Last updated: Jan 9, 2013
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

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Wal-Mart Vision Center 30-0538 · doing business as

Authorized official

Ms. Sarian E. Grider
Enrollment Specialist
(479) 204-6375

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 1972840098

Wal-Mart Stores East, LP's National Provider Identifier is 1972840098, issued on Jan 9, 2013. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Gainesville, FL. The record was last updated on Jan 9, 2013.