MEDICARE: WAL-MART STORES EAST LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FX1800X	Optician
2	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1548553829
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WAL-MART STORES EAST LP

Provider Business Mailing Address
First Line	:	702 SW 8TH ST
Second Line	:
City	:	BENTONVILLE
State	:	AR
Zip	:	72716-0445
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2551 E HALLANDALE BEACH BLVD
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-4818
Country	:	US
Telephone Number	:	954-455-4700
Fax Number	:

Authorized Official
Title or Position	:	ENROLLMENT SPECIALIST
Name	:	DIANNA PAINTER
Credential	:
Telephone Number	:	479-277-1238

Provider Enumeration Date	:	05/19/2011
Last Update Date	:	05/19/2011

Similar Medicare Providers

1811798275 — ANASTASIIA RODONIS PA-C
Practice Location Address:

2501 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL
33009-4818

Practice Phone: 954-932-0120
Practice Fax:

1043237431 — WAL-MART STORES EAST LP
Practice Location Address:

2551 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL
33009-4818

Practice Phone: 954-455-8355
Practice Fax: 954-455-8364

1396032645 — NATALIYA A. WORSLEY, O.D., P.A.
Practice Location Address:

2551 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL
33009-4818

Practice Phone: 954-624-2165
Practice Fax:

1528691961 — FB HEALTH SOLUTIONS
Practice Location Address:

2501 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL
33009-4818

Practice Phone: 954-932-0120
Practice Fax:

1255953865 — FLORIDA SHORES VISION, INC
Practice Location Address:

2551 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL
33009-4818

Practice Phone: 954-455-1205
Practice Fax:

1902406879 — ANGEL NGUYEN PHARMD
Practice Location Address:

2551 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL
33009-4818

Practice Phone: 954-455-8355
Practice Fax:

Directions to “WAL-MART STORES EAST LP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.