National Provider Identifier Database

WAL MART STORE EAST LP
Eyewear Supplier

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.


Contact Information

WAL-MART STORE EAST LP
810 SOUTH IRISH ROAD
CHILTON, WI53014
Phone: 920-849-8467
Fax:
Website:
Specialty Taxonomy Code
* Eyewear Supplier 332H00000X
Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for WAL-MART STORE EAST LP

NPI Number 1437280799
Legal business name
LBN
WAL-MART STORE EAST LP
Authorized official DIANNA PAINTER - (ENROLLMENT SPECIALIST)
Entity Organization
Organization subpart Yes
Enumeration date 03/08/2007
Last updated 07/25/2011 - About 15 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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