NPI 1356118194

Wal-Mart Stores East, LP

Organisation Optician Macon, GA

Practice location

Address: 1401 Gray Hwy, Macon, GA 31211-1905
Phone: (478) 755-1295
Fax: (478) 755-9876
Mailing address: 702 SW 8th St, Bentonville, AR 72716-0445

Authorised official

Name: Matthew McMullin
Title: Director
Phone: (479) 371-8711

Registered specialties (2)

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Georgia →

Eyewear Supplier

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Georgia →

Registry record

NPI: 1356118194
Entity type: Organization
NPI issued: 11 Dec 2023
Record last updated: 11 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.