Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Grand Rapids, MI

NPI number 1003992249 Active

Practice location

5859 28th St SE
Grand Rapids, MI 49546-6905

Call (616) 949-7670 Map

Mailing address

702 SW 8th Street
Bentonville, AR 72716-0235

Specialties and licenses

TaxonomyCodeLicense
Optician 156FX1800XNone listed
Eyewear Supplier Primary 332H00000XNone listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

11 other providers at this address

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About NPI 1003992249

Wal-Mart Stores East, LP's National Provider Identifier is 1003992249, issued on Oct 31, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 11, 2025.