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Contact Information

WAL-MART STORE EAST, LP
2820 GILLESPIE ST.
FAYETTEVILLE, NC28306
 Phone: 910-364-0311
 Fax: 910-484-9009
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

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

NPI # 1720446776
LBN Legal business name WAL-MART STORE EAST, LP
Authorized official LAURA LEVINE - (DIR HEALTHCARE CONTRACT & ENROLL)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/05/2016
Last updated 01/03/2017 - About 9 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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