NPI 1477722171

Wal-Mart Stores East, LP

Organisation Optician Princeton, IN

Practice location

Address: 2700 W Broadway St, Princeton, IN 47670-9418
Phone: (812) 386-6620
Mailing address: 702 SW 8th St., Bentonville, AR 72716-0235

Authorised official

Name: David J Simmons
Title: Npi Associate
Phone: (479) 277-9373

Registered specialties (2)

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Indiana →

Eyewear Supplier

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Indiana →

Registry record

NPI: 1477722171
Entity type: Organization
NPI issued: 27 Feb 2008
Record last updated: 27 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.