NPI 1023283629

Wal-Mart Stores East, LP

Organisation Optician La Porte, IN

Practice location

Address: 333 Boyd Blvd, La Porte, IN 46350-3965
Phone: (219) 324-8471
Mailing address: 702 SW 8th St, Bentonville, AR 72716-0235

Authorised official

Name: David J Simmons
Title: Npi Associate
Phone: (479) 277-9373

Registered specialties (2)

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Indiana →

Eyewear Supplier

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Indiana →

Registry record

NPI: 1023283629
Entity type: Organization
NPI issued: 24 Apr 2008
Record last updated: 24 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.