Organization · NPI-2
Wal-Mart Stores East, LP
Eyewear Supplier (Equipment, not the service) · Florissant, MO
NPI number1013396191
StatusActive
Last updated in NPPESSep 22, 2016
Details
- NPI
- 1013396191
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores East, LP
- Organization subpart
- Yes
- Enumeration date
- May 22, 2015
- Last updated
- Sep 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
| 156FX1800X | Technician/Technologist, Optician | – | – |
Other names
- Walmart Vision Center 30-5927 (Doing Business As)
Practice location
3390 N Highway 67Florissant, MO 63033-1605
Phone 314-824-0022 · Fax 314-824-0021
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Phone 479-204-8550 · Fax 479-204-8550
Authorized official
Laura Levine
Director
4792048550
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