Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Poplar Bluff, MO

NPI number 1164503157 Active

Practice location

333 S Westwood Blvd
Poplar Bluff, MO 63901-5519

Call (573) 686-6420 Map

Mailing address

702 SW 8th St.
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.

9 other providers at this address

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About NPI 1164503157

Wal-Mart Stores East, LP's National Provider Identifier is 1164503157, issued on Oct 18, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Sep 11, 2025.