Organization · Type 2 NPI

Wal-Mart Stores East, LP

Eyewear Supplier · Desloge, MO

NPI number 1972684009 Active

Practice location

407 N State St
Desloge, MO 63601-3053

Call (573) 431-5094 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.

7 other providers at this address

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About NPI 1972684009

Wal-Mart Stores East, LP's National Provider Identifier is 1972684009, issued on Oct 17, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Desloge, MO. The record was last updated on Sep 11, 2025.