Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Columbia, SC

NPI number 1104915016 Active

Practice location

360 Harbison Blvd
Columbia, SC 29212-2248

Call (803) 781-0762 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.

13 other providers at this address

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About NPI 1104915016

Wal-Mart Stores East, LP's National Provider Identifier is 1104915016, issued on Oct 11, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Columbia, SC. The record was last updated on Sep 11, 2025.