Wal-Mart Stores East, LP

Organization Active NPI Eyewear Supplier · Salem, MA

NPI 1134594682 · NPPES record last updated Dec 9, 2015

Key facts

NPI
1134594682
Entity type
Organization (NPI type 2)
Primary specialty
Eyewear Supplier 332H00000X
Legal business name
WAL-MART STORES EAST, LP
Practice address
450 Highland Ave
Salem, MA 01970-1765
Phone
(978) 744-4089
NPI assigned
Dec 9, 2015
Organization subpart
Yes
Parent organization (as reported)
WAL-MART STORES, INC.

Authorized official

Name
Laura Levine
Title
Dir Healthcare Contract& Enroll
Phone
(479) 204-8550

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Ability Network (4,651 organizations share this tax ID)
Part of
Walmart Pharmact

Locations

450 Highland Ave
Salem, MA 01970
Phone (978) 744-4089

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
156FX1800X
Eyewear Supplier 332H00000X Yes

Addresses

Primary practice location

450 Highland Ave
Salem, MA 01970-1765

Mailing address

702 SW 8TH St
Mailstop 0445
Bentonville, AR 72716-0445

Other names

  • Walmart Vision Center 30-2640 Doing business as

Other providers in Salem, MA

All providers in Salem, MA · Eyewear Supplier in Massachusetts

Sources for this page

Verify at the official NPI Registry.