Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Mishawaka, IN

NPI number 1205919842 Active

Practice location

316 Indian Ridge Blvd
Mishawaka, IN 46545-9034

Call (574) 243-9188 Map

Mailing address

702 SW 8th Street
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.

8 other providers at this address

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About NPI 1205919842

Wal-Mart Stores East, LP's National Provider Identifier is 1205919842, issued on Oct 24, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Mishawaka, IN. The record was last updated on Sep 11, 2025.