Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Rogersville, TN

NPI number 1215010574 Active

Practice location

4331 Highway 66 S
Rogersville, TN 37857-3145

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.

5 other providers at this address

About NPI 1215010574

Wal-Mart Stores East, LP's National Provider Identifier is 1215010574, issued on Oct 23, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Rogersville, TN. The record was last updated on Sep 11, 2025.