NPI 1013009554

Wal-Mart Stores East, LP

Organisation Eyewear Supplier Live Oak, FL

Practice location

Address: 6868 US Highway 129, Live Oak, FL 32060-8476
Phone: (386) 330-2488
Mailing address: 702 SW 8th St, Bentonville, AR 72716-0235

Authorised official

Name: Nicole D Gentile
Title: Npi Coordinator
Phone: (316) 788-5580

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Florida →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Florida →

Registry record

NPI: 1013009554
Entity type: Organization
NPI issued: 29 Sep 2006
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.