NPI 1326127937

Wal-Mart Stores East, LP

Organisation Optician Triadelphia, WV

Practice location

Address: 450 Stewart Ln, Triadelphia, WV 26059-1020
Phone: (304) 547-9017
Mailing address: 702 SW 8th St, Bentonville, AR 72716-0235

Authorised official

Name: Tammy J Boyd
Title: Contract Coordinator
Phone: (479) 277-1359

Registered specialties (2)

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in West Virginia →

Eyewear Supplier

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in West Virginia →

Registry record

NPI: 1326127937
Entity type: Organization
NPI issued: 3 Nov 2006
Record last updated: 22 Feb 2008

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.