Wal-Mart Stores, LP
Technician/Technologist, Optician in Greenville, SC. Organization (NPI-2).
NPI number1184872467
StatusActive
Last updated in NPPESJul 28, 2016
Details
- NPI
- 1184872467
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores, LP
- Organization subpart
- No
- Enumeration date
- Aug 29, 2008
- Last updated
- Jul 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | – | – | Yes |
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – |
Other names
- Vision Center 30-4583 (Doing Business As)
Practice location
3925 Pelham RdGreenville, SC 29615-5004
Phone 864-288-2813 · Fax 864-288-2820
Mailing address
702 Sw 8th St.Bentonville, AR 72716-0235
Phone 479-277-1175
Authorized official
Laura Levine
Dir., Healthcare Contracting And En
4792048550
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