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WAL-MART STORES EAST LP NPI 1437828522


NPI Information

NPI: 1437828522
Provider Name: WAL-MART STORES EAST , LP
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

CLIA Number: 37D2153705

Address:
6310 S ELM PL
BROKEN ARROW, OK
ZIP 74011
Phone: (918) 455-4354
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WAL-MART STORES EAST , LP is an eyewear supplier in Broken Arrow, OK. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. WAL-MART STORES EAST , LP NPI is 1437828522. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6310 S ELM PL
BROKEN ARROW, OK
ZIP 74011-100
Phone: (918) 455-4354

The provider's authorized official is Michele Garvey .
The authorized official title is Sr Dir Billing & Reconciliation and has the following contact phone number (479) 277-2611.

The CLIA number assigned to this NPI record is 37D2153705 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/10/2021 and was last updated on 9/10/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1156FX1800XTechnician/TechnologistOpticianNo
2332H00000XEyewear SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.