Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Kennett, MO

NPI number 1720169865 Active

Practice location

1500 1st St
Kennett, MO 63857-2522

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

About NPI 1720169865

Wal-Mart Stores East, LP's National Provider Identifier is 1720169865, issued on Oct 17, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Kennett, MO. The record was last updated on Sep 11, 2025.