Whalio Doctors

NPI 1407164023

Wal-Mart Stores East LP

Organisation Eyewear Supplier Canton, MI

Practice location

Address
4555 Michigan Ave, Canton, MI 48188
Phone
(734) 985-9426
Mailing address
702 SW 8th St, Bentonville, AR 72716-0445

Authorised official

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

Registered specialties (2)

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

Registry record

NPI
1407164023
Entity type
Organization
NPI issued
16 Sep 2010
Record last updated
16 Sep 2010

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.