Organization · Type 2 NPI
Wal-Mart Stores East, LP
Eyewear Supplier · South Bend, IN
NPI number
1922181569
Active
Practice location
3701 Portage Rd
South Bend, IN 46628-6098
Mailing address
702 SW 8th Street
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.
Another provider at this address
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About NPI 1922181569
Wal-Mart Stores East, LP's National Provider Identifier is 1922181569, issued on Oct 24, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in South Bend, IN. The record was last updated on Sep 11, 2025.