NPI 1053661447

Wal-Mart Stores East LP

Organisation Eyewear Supplier Randallstown, MD

Practice location

Address: 8730 Liberty Rd, Randallstown, MD 21133-4710
Phone: (443) 576-3076
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 Maryland →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Maryland →

Registry record

NPI: 1053661447
Entity type: Organization
NPI issued: 13 Sep 2012
Record last updated: 13 Sep 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.