NPI 1649352667

Wal-Mart Stores East, LP

Organisation Optician Cordova, TN

Practice location

Address: 577 N Germantown Pkwy, Cordova, TN 38018-6211
Phone: (901) 758-1591
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 Tennessee →

Eyewear Supplier

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Tennessee →

Registry record

NPI: 1649352667
Entity type: Organization
NPI issued: 19 Oct 2006
Record last updated: 29 May 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.