Wal-Mart Stores East, LP
Eyewear Supplier (Equipment, not the service) in Whitewater, WI. Organization (NPI-2).
NPI number1548639784
StatusActive
Last updated in NPPESSep 17, 2015
Details
- NPI
- 1548639784
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores East, LP
- Organization subpart
- Yes
- Enumeration date
- Sep 17, 2015
- Last updated
- Sep 17, 2015
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 30-1274 (Doing Business As)
Practice location
1362 W Main StWhitewater, WI 53190-1504
Phone 479-258-2115 · Fax 479-277-4331
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Authorized official
Deb Lauver
Specialist
4792582115
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