WAL-MART STORES EAST, LP; NPI #1780748681

Contact Information

WAL-MART STORES EAST, LP

4085 WEDGEWOOD LN
TAMPA, FL 32162

Phone: 352-259-3575
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Optician	156FX1800X	96[5]	Optician
Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for WAL-MART STORES EAST, LP

NPI Number	`1780748681`
LBN Legal business name	WAL-MART STORES EAST, LP
Authorized official	DAVID SIMMONS - (PROVIDER ENROLLMENT SPECIALIST)
Entity	Organization
Organization subpart ¹	No
Enumeration date	12/22/2006
Last updated	09/13/2007 - About 19 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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WAL-MART STORES EAST, LP

Contact Information

Specialty

Optician

Eyewear Supplier

NPI Profile & details for WAL-MART STORES EAST, LP

Reviews for WAL-MART STORES EAST, LP