National Provider Identifier Database

WAL MART STORES EAST LP
Optician


Contact Information

WAL-MART STORES EAST, L.P.
965 BROADHOLLOW RD
FARMINGDALE, NY11735
Phone: 631-694-3520
Fax:
Website:
Specialty Taxonomy Code
* Optician 156FX1800X
Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for WAL-MART STORES EAST, L.P.

NPI Number 1013048529
Legal business name
LBN
WAL-MART STORES EAST, L.P.
Authorized official CORY GUNDBERG - (SVP HEALTH & WELLNESS)
Entity Organization
Organization subpart No
Enumeration date 03/08/2007
Last updated 09/04/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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