Wal-Mart Stores East, LP
Eyewear Supplier (Equipment, not the service) in Hanson, KY. Organization (NPI-2).
NPI number1407200280
StatusActive
Last updated in NPPESApr 19, 2016
Details
- NPI
- 1407200280
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores East, LP
- Organization subpart
- Yes
- Enumeration date
- Apr 19, 2016
- Last updated
- Apr 19, 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 30-0655 (Doing Business As)
Practice location
420 Factory Outlet DrHanson, KY 42413-9514
Phone 270-821-7177 · Fax 270-821-7202
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Phone 479-277-1242 · Fax 479-277-4331
Authorized official
Laura Levine
Dir. Healthcare Contracting
4792771242
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