NPI 1629368113

Wal-Mart Stores East LP

Organisation Eyewear Supplier Delafield, WI

Practice location

Address: 2863 Heritage Dr, Delafield, WI 53018-2128
Phone: (262) 646-8858
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

Other Eyewear Supplier providers in Wisconsin →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Wisconsin →

Registry record

NPI: 1629368113
Entity type: Organization
NPI issued: 18 Apr 2011
Record last updated: 18 Apr 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.