Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Live Oak, FL

NPI number 1013009554 Active

Practice location

6868 US Highway 129
Live Oak, FL 32060-8476

Mailing address

702 SW 8th St
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.

6 other providers at this address

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About NPI 1013009554

Wal-Mart Stores East, LP's National Provider Identifier is 1013009554, issued on Sep 29, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Live Oak, FL. The record was last updated on Sep 11, 2025.