Organization · Type 2 NPI

Wal-Mart Stores East , LP

Optician · Broken Arrow, OK

NPI number 1902771173 Active

Practice location

2301 W Kenosha St
Broken Arrow, OK 74012-8912

Fax (918) 505-6909

Mailing address

1 Customer Dr
Bentonville, AR 72716-0445

Specialties and licenses

TaxonomyCodeLicense
Optician Primary 156FX1800XNone listed
Eyewear Supplier 332H00000XNone listed

Optician: Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

7 other providers at this address

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About NPI 1902771173

Wal-Mart Stores East , LP's National Provider Identifier is 1902771173, issued on Oct 8, 2025. The primary taxonomy on file is Optician (156FX1800X), and the practice location is in Broken Arrow, OK. The record was last updated on Oct 8, 2025.