Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Fort Wayne, IN

NPI number 1073613337 Active

Practice location

7502 Southtown Xing
Fort Wayne, IN 46816-2515

Call (260) 441-7087 Map

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.

4 other providers at this address

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About NPI 1073613337

Wal-Mart Stores East, LP's National Provider Identifier is 1073613337, issued on Sep 25, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 11, 2025.