NPI 1063742690

Wal-Mart Stores East, LP

Organisation Optician North Bergen, NJ

Practice location

Address: 2100 88th Street, North Bergen, NJ 07047
Phone: (201) 758-2810
Mailing address: 702 SW 8th Street, Bentonville, AR 72716-0235

Authorised official

Name: Holly C Wilkinson
Title: Carrier Specialist
Phone: (479) 204-8320

Registered specialties (2)

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in New Jersey →

Eyewear Supplier

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in New Jersey →

Registry record

NPI: 1063742690
Entity type: Organization
NPI issued: 4 Jan 2010
Record last updated: 4 Jan 2010

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.