Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Jackson, MO

NPI number 1962412965 Active

Practice location

3051 E Jackson Blvd
Jackson, MO 63755-2910

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

About NPI 1962412965

Wal-Mart Stores East, LP's National Provider Identifier is 1962412965, issued on Aug 9, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Jackson, MO. The record was last updated on Sep 11, 2025.