Wal-Mart Stores East, LP
Eyewear Supplier (Equipment, not the service) in Johnson City, TN. Organization (NPI-2).
NPI number1043375868
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1043375868
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores East, LP
- Organization subpart
- No
- Enumeration date
- Dec 22, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
| 156FX1800X | Technician/Technologist, Optician | – | – |
Other names
- Wal-Mart Vision Center 30-3829 (Doing Business As)
Practice location
2915 W Market StJohnson City, TN 37604-9086
Phone 423-434-2703
Mailing address
702 Sw 8th St.Bentonville, AR 72716-0235
Authorized official
Bj Rice
Provider Enrollment Specialist
4792779835
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Other Eyewear Supplier providers in Johnson City, TN
- Dr Mark Lynn & Associates PLLCNPI 1710061049
- Luxottica Of America INC.NPI 1053480723
- Tn Doctors Of Optometry, PLLCNPI 1912663204
- Wal-Mart Stores East, LPNPI 1386726156
All 5 Eyewear Supplier providers in Johnson City · All 4,629 providers in Johnson City
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