Wal-Mart Stores East LP
Eyewear Supplier (Equipment, not the service) in Davie, FL. Organization (NPI-2).
NPI number1649511346
StatusActive
Last updated in NPPESMar 6, 2013
Details
- NPI
- 1649511346
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores East LP
- Organization subpart
- Yes
- Enumeration date
- Mar 6, 2013
- Last updated
- Mar 6, 2013
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 30-2987 (Doing Business As)
Practice location
4301 S University DrDavie, FL 33328
Phone 954-331-3612
Mailing address
702 Sw 8th StBentonville, AR 72716-6029
Authorized official
Sarian Grider
Specialist Plan Enrollment
4792046375
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