Organization · Type 2 NPI
Wal-Mart Stores East, LP
Eyewear Supplier · Brandon, MS
NPI number
1205919701
Active
Practice location
5341 Highway 25
Brandon, MS 39047-7673
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.
Another provider at this address
About NPI 1205919701
Wal-Mart Stores East, LP's National Provider Identifier is 1205919701, issued on Oct 20, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Brandon, MS. The record was last updated on Sep 11, 2025.