Organization · Type 2 NPI
Wal-Mart Stores East, LP
Eyewear Supplier · Angola, IN
NPI number
1205918430
Active
Practice location
2016 N Wayne St
Angola, IN 46703-9102
Mailing address
702 SW 8th St
Bentonville, AR 72716-6209
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.
4 other providers at this address
About NPI 1205918430
Wal-Mart Stores East, LP's National Provider Identifier is 1205918430, issued on Oct 19, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Angola, IN. The record was last updated on Sep 11, 2025.