Organization · Type 2 NPI
Wal-Mart Stores East, LP
Eyewear Supplier · Osage Beach, MO
NPI number
1417038902
Active
Practice location
4252 Highway 54
Osage Beach, MO 65065-2171
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.
About NPI 1417038902
Wal-Mart Stores East, LP's National Provider Identifier is 1417038902, issued on Oct 18, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Osage Beach, MO. The record was last updated on Sep 11, 2025.