NPI 1316714470

Wal-Mart Stores East, LP.

Organisation Optician Waterford, CT

Practice location

Address: 155 Waterford Pkwy N, Waterford, CT 06385-1208
Phone: (860) 437-3748
Fax: (860) 437-1185
Mailing address: 702 SW 8th St, Bentonville, AR 72716-0445

Authorised official

Name: Michele Garvey
Title: Director of Health Care Contracting
Phone: (479) 277-2611

Registered specialties (2)

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Connecticut →

Eyewear Supplier

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Connecticut →

Registry record

NPI: 1316714470
Entity type: Organization
NPI issued: 8 Dec 2023
Record last updated: 8 Dec 2023

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.