NPI 1558752360

Wal-Mart Stores East, LP

Organisation Eyewear Supplier Morristown, TN

Practice location

Address: 4331 W. Andrew Johnson Highway, Morristown, TN 37814
Phone: (423) 254-6675
Mailing address: 702 SW 8th St, Bentonville, AR 72716-0445

Authorised official

Name: Larua Levine
Title: Director, of Healthcare Contracting
Phone: (479) 204-8550

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Tennessee →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Tennessee →

Registry record

NPI: 1558752360
Entity type: Organization
NPI issued: 16 Feb 2015
Record last updated: 16 Feb 2015

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.