Wal-Mart Stores East, LP
Eyewear Supplier (Equipment, not the service) in Fall River, MA. Organization (NPI-2).
NPI number1477924009
StatusActive
Last updated in NPPESOct 8, 2015
Details
- NPI
- 1477924009
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores East, LP
- Organization subpart
- Yes
- Enumeration date
- Oct 8, 2015
- Last updated
- Oct 8, 2015
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 30-3560 (Doing Business As)
Practice location
638 Quequechan StFall River, MA 02721-4005
Phone 508-730-2978 · Fax 508-730-1631
Mailing address
702 Sw 8th StMailstop 0445
Bentonville, AR 72716-0445
Phone 479-258-6180 · Fax 479-277-4331
Authorized official
Laura Levine
Dir Healthcare Contracting & Enroll
4792048550
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