Organization · Type 2 NPI
Wal-Mart Stores East, LP
Eyewear Supplier · Lucedale, MS
NPI number
1215010905
Active
Practice location
11228 Old Highway 63 S
Lucedale, MS 39452-4842
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 1215010905
Wal-Mart Stores East, LP's National Provider Identifier is 1215010905, issued on Oct 24, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Lucedale, MS. The record was last updated on Sep 11, 2025.