Wal-Mart Stores East, LP
Eyewear Supplier (Equipment, not the service) in Northborough, Massachusetts
1003904590- Practice location
- 200 Otis St, Northborough, MA 01532-2442
- Phone
- 508-393-4385
- Fax
- —
- Last updated
- September 11, 2025
Wal-Mart Stores East, LP is a healthcare organization based in Northborough, MA. Wal-Mart Stores East, LP practices in Northborough, MA. The NPI Number for Wal-Mart Stores East, LP is 1003904590. The current practice location address for Wal-Mart Stores East, LP is 200 Otis St, Northborough, MA 01532-2442 and can be reached out via phone at 508-393-4385.
Provider Profile Details
- NPI Number
- 1003904590
- Provider Name
- Wal-Mart Stores East, LP
- Provider Entity Type
- Organization
- Address
- 200 Otis St, Northborough, MA 01532-2442
- Phone Number
- 508-393-4385
- Primary Taxonomy
- Eyewear Supplier (Equipment, not the service) · 332H00000X
- Organization Subpart
- No
- Authorized Official
- Nicole D Gentile · Npi Coordinator · 316-788-5580
- Other Names
- Vision Center 30-2158 (Doing Business As)
- Provider Enumeration Date
- October 10, 2006
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Otis St
Northborough, MA 01532-2442 - City
- Northborough
- State
- Massachusetts
- Zip
- 01532-2442
- Phone Number
- 508-393-4385
Provider Business Mailing Address Details
- Address
- 702 SW 8TH St.
Bentonville, AR 72716-0235 - City
- Bentonville
- State
- AR
- Zip
- 72716-0235
License Information
- Taxonomy (1)
- Technician/Technologist, Optician · 156FX1800X
- Taxonomy (2)
- Eyewear Supplier (Equipment, not the service) · 332H00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Wal-Mart Stores East, LP?
The NPI number of Wal-Mart Stores East, LP is 1003904590. It was assigned on October 10, 2006 and is currently active in the NPPES registry.
What is the specialty of Wal-Mart Stores East, LP?
Wal-Mart Stores East, LP is registered under the primary taxonomy Eyewear Supplier (Equipment, not the service) (code 332H00000X).
Where does Wal-Mart Stores East, LP practice?
The practice location is 200 Otis St, Northborough, MA 01532-2442. The office can be reached at 508-393-4385 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003904590 directly on the NPPES registry website.