Organization · Type 2 NPI
Wal-Mart Stores East, LP
Eyewear Supplier · De Soto, MO
NPI number
1477634277
Active
Practice location
12862 State Road 21
De Soto, MO 63020
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 De Soto
About NPI 1477634277
Wal-Mart Stores East, LP's National Provider Identifier is 1477634277, issued on Oct 18, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in De Soto, MO. The record was last updated on Sep 11, 2025.