Organization · Type 2 NPI
Wal-Mart Stores East, LP
Eyewear Supplier · Bolivar, MO
NPI number
1114008018
Active
Practice location
2451 S Springfield Ave
Bolivar, MO 65613-9123
Mailing address
702 SW 8th St.
Bentonville, AR 72716-0235
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optician | 156FX1800X | None listed |
| Eyewear Supplier Primary | 332H00000X | None listed |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
9 other providers at this address
- Southwest Ozark Optometric Physicians IncOptometrist Bolivar, MO NPI 1992903660
- Steven Bartholomew Od LLCOptometrist Bolivar, MO NPI 1497364210
- Wal-Mart Stores East LPCommunity/Retail Pharmacy Bolivar, MO NPI 1881611200
- Douglas Scott Kirar, ODOptometrist Bolirar, MO NPI 1982709697
- Dylan R. Detlor, PharmDPharmacist Bolivar, MO NPI 1912613514
- Michelle K. Rieck, NHA CPHPharmacy Technician Bolivar, MO NPI 1093307092
- Rachel Lynn Clark, CPHTPharmacy Technician Bolivar, MO NPI 1326630047
- Sarah Elizabeth Rotramel, CPHTPharmacy Technician Bolivar, MO NPI 1396337077
- Steven M. ColemanPharmacist Bolivar, MO NPI 1558838466
About NPI 1114008018
Wal-Mart Stores East, LP's National Provider Identifier is 1114008018, issued on Oct 18, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Bolivar, MO. The record was last updated on Sep 11, 2025.