Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Fayetteville, TN

NPI number 1194807016 Active

Practice location

1224 Huntsville Hwy
Fayetteville, TN 37334-3618

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.

7 other providers at this address

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About NPI 1194807016

Wal-Mart Stores East, LP's National Provider Identifier is 1194807016, issued on Oct 19, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Fayetteville, TN. The record was last updated on Sep 11, 2025.