NPI 1073613337

Wal-Mart Stores East, LP

Organisation Eyewear Supplier Fort Wayne, IN

Practice location

Address: 7502 Southtown Xing, Fort Wayne, IN 46816-2515
Phone: (260) 441-7087
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 Indiana →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Indiana →

Registry record

NPI: 1073613337
Entity type: Organization
NPI issued: 25 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.