NPI 1114009008

Wal-Mart Stores East, LP

Organisation Optician Ballwin, MO

Practice location

Address: 201 Highlands Boulevard Dr, Ballwin, MO 63011-4383
Phone: (636) 256-0697
Mailing address: 702 SW 8th St., Bentonville, AR 72716-0235

Authorised official

Name: Holly C Wilkinson
Title: Health & Wellness Optical Insurance
Phone: (479) 204-8320

Registered specialties (2)

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Missouri →

Eyewear Supplier

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Missouri →

Registry record

NPI: 1114009008
Entity type: Organization
NPI issued: 19 Oct 2006
Record last updated: 3 Sep 2009

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.