NPI 1093863573

Wal-Mart Stores East, LP

Organisation Eyewear Supplier Norfolk, VA

Practice location

Address: 750 Tidewater Drive, Norfolk, VA 23505
Phone: (757) 480-3076
Fax: (757) 480-3102
Mailing address: 702 SW 8th Street, Bentonville, AR 72716-0235

Authorised official

Name: G Wesley Crainshaw
Title: Provider Enrollment Specialist
Phone: (479) 277-1850

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Virginia →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Virginia →

Registry record

NPI: 1093863573
Entity type: Organization
NPI issued: 8 Jan 2007
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.