Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Richlands, NC

NPI number 1982098778 Active

Practice location

349 Kinston Hwy
Richlands, NC 28574-6420

Call (479) 277-2500 Map

Fax (479) 277-4331

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: 1982098778
Entity type: Organization (Type 2)
Issued: Mar 19, 2015
Last updated: Mar 19, 2015
Status: Active
Subpart: Yes of Wal-Mart Stores, Inc.

Other names

<unavail>
Wal-Mart Vision Center 30-7009 · doing business as

Authorized official

Laura Levine
Director Health Care Contracting
(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.

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About NPI 1982098778

Wal-Mart Stores East, LP's National Provider Identifier is 1982098778, issued on Mar 19, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Richlands, NC. The record was last updated on Mar 19, 2015.