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Wal-Mart Stores East, Lp. — NPI 1194592527, Grants Pass, OR | NPI Central

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NPI 1194592527

OrganizationActive

Wal-Mart Stores East, Lp.

NPI 1194592527 · Optician · Grants Pass, OR

Provider details

NPI number: 1194592527
Entity type: Organization
Primary specialty: OpticianEye and Vision Services Providers
Organization subpart: No
Authorized official: Michele Garvey, Director of Health Care Contracting(479) 277-2611

Specialties & taxonomies

OpticianPrimary156FX1800X
Eye and Vision Services Providers
Eyewear Supplier332H00000X
Suppliers

Practice location

135 Ne Terry Ln

Grants Pass, OR 97526-4801

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

702 Sw 8th St

Bentonville, AR 72716-0445

Other names (DBA / former)

Doing business as: Walmart Pharmacy 10-3164

Registry dates

Enumerated: 2023-12-06
Last updated: 2023-12-06
Certified: 2023-12-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.