NPI 1053620351

Wal-Mart Stores East LP

Organisation Eyewear Supplier Somersdale, NJ

Practice location

Address: 1 Coopertown Blvd, Somersdale, NJ 08083
Phone: (856) 545-9057
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 New Jersey →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in New Jersey →

Registry record

NPI: 1053620351
Entity type: Organization
NPI issued: 4 Oct 2010
Record last updated: 15 Mar 2011

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.