Organization · Type 2 NPI

Wal-Mart Stores East, LP

Optician · Lake Geneva, WI

NPI number 1114000858 Active

Practice location

201 S Edwards Blvd
Lake Geneva, WI 53147-4507

Mailing address

1 Customer Dr
Bentonville, AR 72716-0235

Specialties and licenses

TaxonomyCodeLicense
Optician Primary 156FX1800XNone listed
Eyewear Supplier 332H00000XNone listed

Optician: Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

5 other providers at this address

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About NPI 1114000858

Wal-Mart Stores East, LP's National Provider Identifier is 1114000858, issued on Oct 24, 2006. The primary taxonomy on file is Optician (156FX1800X), and the practice location is in Lake Geneva, WI. The record was last updated on Oct 28, 2026.