Organization · Type 2 NPI
Wal-Mart Stores East, LP
Eyewear Supplier · Fruitland, MD
NPI number
1225110794
Active
Practice location
409 N. Fruitland
Fruitland, MD 21804
Mailing address
702 SW 8th St.
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 1225110794
Wal-Mart Stores East, LP's National Provider Identifier is 1225110794, issued on Oct 20, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Fruitland, MD. The record was last updated on Sep 11, 2025.