WAL-MART STORE EAST LP NPI 1093870909

NPI Information

WAL-MART STORE EAST, LP is an optician technician technologist in Winston Salem, NC. WAL-MART STORE EAST, LP NPI is 1093870909. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Wal-mart Vision Center 30-3626.

The provider's business location address is:

1330 W. CLEMMNONSVILLE RD.
WINSTON SALEM, NC
ZIP 27127
Phone: (336) 771-7322

The provider's authorized official is Bj Rice .
The authorized official title is Provider Enrollment Specialist and has the following contact phone number (479) 277-9835.

The enumeration date for this NPI number is 12/22/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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