Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Fort Wayne, IN

NPI number 1871675017 Active

Practice location

1710 Apple Glen Blvd
Fort Wayne, IN 46804-1725

Call (260) 436-0113 Map

Mailing address

702 SW 8th Street
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.

6 other providers at this address

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About NPI 1871675017

Wal-Mart Stores East, LP's National Provider Identifier is 1871675017, issued on Oct 19, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 11, 2025.