NPI 1104920396

Wal-Mart Stores East, LP

Organisation Eyewear Supplier Princeton, WV

Practice location

Address: 201 Greasy Ridge Rd, Princeton, WV 24740-6900
Phone: (304) 431-2100
Mailing address: 702 SW 8th Street, Bentonville, AR 72716-0235

Authorised official

Name: Linda M. Epperson
Title: Npi Coordinator
Phone: (316) 788-8850

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in West Virginia →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in West Virginia →

Registry record

NPI: 1104920396
Entity type: Organization
NPI issued: 11 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.