Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Port St. Lucie, FL

NPI number 1417048802 Active

Practice location

10855 S US Highway 1
Port St. Lucie, FL 34952-6410

Call (772) 335-5359 Map

Mailing address

702 SW 8th St.
Bentonville, AR 72716-0235

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.

6 other providers at this address

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About NPI 1417048802

Wal-Mart Stores East, LP's National Provider Identifier is 1417048802, issued on Sep 28, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Sep 11, 2025.