Organization · Type 2 NPI
Wal-Mart Stores East, LP
Eyewear Supplier · Cedartown, GA
NPI number
1790874998
Active
Practice location
1585 Rome Hwy
Cedartown, GA 30125-4402
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.
4 other providers at this address
About NPI 1790874998
Wal-Mart Stores East, LP's National Provider Identifier is 1790874998, issued on Oct 12, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Cedartown, GA. The record was last updated on Sep 11, 2025.