NPI 1063593440

Wal-Mart Stores East, LP

Organisation Eyewear Supplier Augusta, GA

Practice location

Address: 3209 Deans Bridge Rd, Augusta, GA 30906-4201
Phone: (706) 792-9323
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 Georgia →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Georgia →

Registry record

NPI: 1063593440
Entity type: Organization
NPI issued: 18 Oct 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.