NPI 1023372174

Wal-Mart Stores East LP

Organisation Eyewear Supplier Novi, MI

Practice location

Address: 26090 Ingersol Dr, Novi, MI 48375-1212
Phone: (248) 277-4440
Mailing address: 702 SW 8th St, Bentonville, AR 72716-0445

Authorised official

Name: Dianna Painter
Title: Enrollment Specialist
Phone: (479) 277-1238

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Michigan →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Michigan →

Registry record

NPI: 1023372174
Entity type: Organization
NPI issued: 3 Jul 2012
Record last updated: 3 Jul 2012

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.