Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Fredonia, NY

NPI number 1417063801 Active

Practice location

10401 Bennett Rd
Fredonia, NY 14063-1402

Call (716) 679-3150 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.

10 other providers at this address

About NPI 1417063801

Wal-Mart Stores East, LP's National Provider Identifier is 1417063801, issued on Aug 21, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Fredonia, NY. The record was last updated on Sep 11, 2025.