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Wal-Mart Stores East, LP

Organization Active NPI Eyewear Supplier · Hanson, KY

NPI 1407200280 · NPPES record last updated Apr 19, 2016

Key facts

NPI
1407200280
Entity type
Organization (NPI type 2)
Primary specialty
Eyewear Supplier 332H00000X
Legal business name
WAL-MART STORES EAST, LP
Practice address
420 Factory Outlet Dr
Hanson, KY 42413-9514
Phone
(270) 821-7177
Fax
(270) 821-7202
NPI assigned
Apr 19, 2016
Organization subpart
Yes
Parent organization (as reported)
WAL-MART STORES, INC.

Authorized official

Name
Laura Levine
Title
Dir. Healthcare Contracting
Phone
(479) 277-1242

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 24

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

Specialties & licenses

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

Addresses

Primary practice location

420 Factory Outlet Dr
Hanson, KY 42413-9514

Mailing address

702 SW 8TH St
Bentonville, AR 72716-0445
Phone (479) 277-1242

Other names

  • Walmart Vision Center 30-0655 Doing business as

Other providers in Hanson, KY

All providers in Hanson, KY · Eyewear Supplier in Kentucky

Sources for this page

Verify at the official NPI Registry.