Wal-Mart Stores Easts, LP.

Optician · Cumming, GA

Organization Active NPI

NPI number 1194591982

Practice location

1500 Market Place Blvd
Cumming, GA 30041-6060
Phone
(770) 888-2323

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NPI record

NPI
1194591982
Entity type
Organization (Type 2)
Enumeration date
December 1, 2023
Last updated
December 1, 2023
Certified
December 1, 2023
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optician Primary 156FX1800X — —
Eyewear Supplier 332H00000X — —

Mailing address

702 SW 8TH St
Bentonville, AR 72716-0445
Phone
(479) 258-2115
Fax
(479) 277-4331

Authorized official

Name
Michele Garvey
Title
Director of Health Care Contracting
Phone
(479) 277-2611

About Wal-Mart Stores Easts, LP.

Wal-Mart Stores Easts, LP. is a healthcare organization registered in the NPI registry with the primary taxonomy Optician (code 156FX1800X). The practice location is 1500 Market Place Blvd, Cumming, GA 30041-6060. The NPI number 1194591982 was assigned on December 1, 2023 and the record was last updated on December 1, 2023.

The authorized official for this organization is Michele Garvey, Director of Health Care Contracting.

Frequently asked questions

What is the NPI number of Wal-Mart Stores Easts, LP.?

The NPI number is 1194591982.

What is the phone number of Wal-Mart Stores Easts, LP.?

The phone number listed for the practice location is (770) 888-2323.

Where is Wal-Mart Stores Easts, LP. located?

1500 Market Place Blvd, Cumming, GA 30041-6060.

What is the taxonomy code for Wal-Mart Stores Easts, LP.?

The primary taxonomy code is 156FX1800X – Optician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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