Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · St. Petersburg, FL

NPI number 1972920718 Active

Practice location

10237 Bay Pines Blvd
St. Petersburg, FL 33708-3131

Call (727) 347-1188 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

Other eyewear supplier providers in St. Petersburg

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NPI record

NPI: 1972920718
Entity type: Organization (Type 2)
Issued: Mar 18, 2014
Last updated: Mar 18, 2014
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc.

Other names

<unavail>
Wal-Mart Vision Center 30-1536 · doing business as

Authorized official

Laura Levine
Dir Healthcare Contracting & 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 1972920718

Wal-Mart Stores East, LP's National Provider Identifier is 1972920718, issued on Mar 18, 2014. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Mar 18, 2014.