Organization · Type 2 NPI
Wal-Mart Stores East, LP
Eyewear Supplier · Macclenny, FL
NPI number
1114082997
Active
Practice location
9218 So. State Road 228
Macclenny, FL 36063
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.
About NPI 1114082997
Wal-Mart Stores East, LP's National Provider Identifier is 1114082997, issued on Dec 22, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Macclenny, FL. The record was last updated on Sep 11, 2025.