NPI 1275717001

Wal-Mart Stores East, LP

Organisation Optician Indianapolis, IN

Practice location

Address: 4545 Lafayette Rd, Indianapolis, IN 46254-2033
Phone: (317) 328-0398
Mailing address: 702 SW 8th St, Bentonville, AR 72716-0235

Authorised official

Name: David J Simmons
Title: Npi Associate
Phone: (479) 277-9373

Registered specialties (2)

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Indiana →

Eyewear Supplier

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Indiana →

Registry record

NPI: 1275717001
Entity type: Organization
NPI issued: 28 Dec 2007
Record last updated: 28 Dec 2007

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.