Organization · Type 2 NPI
Wal-Mart Stores East, LP
Eyewear Supplier · Clarksdale, MS
NPI number
1205912367
Active
Practice location
826 S State St
Clarksdale, MS 38614-4804
Mailing address
702 SW 8th Street
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 1205912367
Wal-Mart Stores East, LP's National Provider Identifier is 1205912367, issued on Oct 31, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Clarksdale, MS. The record was last updated on Sep 11, 2025.