Whalio Doctors

NPI 1376633370

Wal-Mart Stores, INC

Organisation Eyewear Supplier Longview, WA

Practice location

Address
540 7th Ave, Longview, WA 98632
Phone
(360) 414-0281
Mailing address
702 SW 8th St., Bentonville, AR 72716-0445

Authorised official

Name
Dianna D Painter
Title
Enrollment Coordinator
Phone
(479) 277-1238

Registered specialties (2)

Eyewear Supplier Primary
Suppliers Taxonomy 332H00000X
Optician
Eye and Vision Services Providers Taxonomy 156FX1800X

Registry record

NPI
1376633370
Entity type
Organization
NPI issued
13 Oct 2006
Record last updated
28 Jul 2011

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.