Wal-Mart Stores East, LP
Eyewear Supplier (Equipment, not the service) in Mcdonough, GA. Organization (NPI-2).
NPI number1659454585
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1659454585
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores East, LP
- Organization subpart
- No
- Enumeration date
- Oct 23, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
| 156FX1800X | Technician/Technologist, Optician | – | – |
Other names
- Vision Center 30-3201 (Doing Business As)
Practice location
135 Willow LnMcdonough, GA 30253-6574
Phone 678-432-2023
Mailing address
702 Sw 8th St.Bentonville, AR 72716-0235
Authorized official
Nicole D Gentile
Npi Coordinator
3167885580
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