NPI 1043375868

Wal-Mart Stores East, LP

Organisation Eyewear Supplier Johnson City, TN

Practice location

Address: 2915 W Market St, Johnson City, TN 37604-9086
Phone: (423) 434-2703
Mailing address: 702 SW 8th St., Bentonville, AR 72716-0235

Authorised official

Name: Bj Rice
Title: Provider Enrollment Specialist
Phone: (479) 277-9835

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Tennessee →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Tennessee →

Registry record

NPI: 1043375868
Entity type: Organization
NPI issued: 22 Dec 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.