Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Madisonville, TN

NPI number 1407938640 Active

Practice location

4525 Highway 411
Madisonville, TN 37354-1536

Mailing address

702 SW 8th St
Bentonville, AR 72716-6209

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.

7 other providers at this address

About NPI 1407938640

Wal-Mart Stores East, LP's National Provider Identifier is 1407938640, issued on Oct 19, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Madisonville, TN. The record was last updated on Sep 11, 2025.