Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Greenville, PA

NPI number 1104908680 Active

Practice location

45 Williamson Rd
Greenville, PA 16125-1253

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.

5 other providers at this address

About NPI 1104908680

Wal-Mart Stores East, LP's National Provider Identifier is 1104908680, issued on Oct 20, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Greenville, PA. The record was last updated on Sep 11, 2025.