NPI 1205078292

Wal-Mart Stores, INC.

Organisation Optician Scarborough, ME

Practice location

Address: 500 Gallery Blvd, Scarborough, ME 04074-6606
Phone: (207) 885-5567
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 Maine →

Eyewear Supplier

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Maine →

Registry record

NPI: 1205078292
Entity type: Organization
NPI issued: 6 Apr 2009
Record last updated: 6 Apr 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.