NPI 1063812543

Wal-Mart Stores East, LP

Organisation Eyewear Supplier East Brunswick, NJ

Practice location

Address: 290 State Route 18, East Brunswick, NJ 08816-1995
Phone: (479) 277-2500
Mailing address: 702 SW 8th St Mailstop 0445, Bentonville, AR 72716-0445

Authorised official

Name: Laura Levine
Title: Dir Healthcare Contracting & Enroll
Phone: (479) 204-8550

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: 1063812543
Entity type: Organization
NPI issued: 3 Sep 2014
Record last updated: 3 Sep 2014

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.