Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Princeton, WV

NPI number 1104920396 Active

Practice location

201 Greasy Ridge Rd
Princeton, WV 24740-6900

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.

Another provider at this address

About NPI 1104920396

Wal-Mart Stores East, LP's National Provider Identifier is 1104920396, issued on Sep 11, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Princeton, WV. The record was last updated on Sep 11, 2025.