Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Fenton, MO

NPI number 1609959824 Active

Practice location

653 Gravois Bluffs Blvd
Fenton, MO 63026-7715

Call (636) 349-3116 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.

7 other providers at this address

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About NPI 1609959824

Wal-Mart Stores East, LP's National Provider Identifier is 1609959824, issued on Oct 23, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Fenton, MO. The record was last updated on Sep 11, 2025.