NPI 1063897510

Wal-Mart Stores East, LP

Organisation Eyewear Supplier Hazlehurst, MS

Practice location

Address: 527 Lake St, Hazlehurst, MS 39083-2217
Phone: (479) 204-8550
Mailing address: 702 SW 8th St Mail Stop 0445, Bentonville, AR 72716-0445

Authorised official

Name: Laura Levine
Title: Dir Healthcare Enrollment and Contr
Phone: (479) 204-8550

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Mississippi →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Mississippi →

Registry record

NPI: 1063897510
Entity type: Organization
NPI issued: 27 Jul 2015
Record last updated: 27 Jul 2015

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.