NPI 1053846345

Wal-Mart Stores East, LP

Organisation Eyewear Supplier Goshen, IN

Practice location

Address: 4024 Elkhart Rd STE 2, Goshen, IN 46526-5801
Phone: (479) 204-1258
Fax: (479) 277-4331
Mailing address: 702 SW 8th St, Bentonville, AR 72716-0445

Authorised official

Name: Kylee Fisher
Title: Manager
Phone: (479) 204-1258

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Indiana →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Indiana →

Registry record

NPI: 1053846345
Entity type: Organization
NPI issued: 25 Apr 2017
Record last updated: 25 Apr 2017

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.