Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Lebanon, MO

NPI number 1912080557 Active

Practice location

1800 S Jefferson Ave
Lebanon, MO 65536-4208

Call (417) 588-2268 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.

6 other providers at this address

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About NPI 1912080557

Wal-Mart Stores East, LP's National Provider Identifier is 1912080557, issued on Oct 24, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Lebanon, MO. The record was last updated on Sep 11, 2025.