Organization · Type 2 NPI
Wal-Mart Stores East, LP
Eyewear Supplier · Jefferson City, MO
NPI number
1306927488
Active
Practice location
724 Stadium W. Blvd.
Jefferson City, MO 65109
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.
Other eyewear supplier providers in Jefferson City
About NPI 1306927488
Wal-Mart Stores East, LP's National Provider Identifier is 1306927488, issued on Oct 17, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Jefferson City, MO. The record was last updated on Sep 11, 2025.