NPI 1114000619

Wal-Mart Stores East, LP,

Organisation Eyewear Supplier Madison, MS

Practice location

Address: 127 Grandview Dr, Madison, MS 39110-7595
Phone: (601) 605-9662
Mailing address: 702 SW 8th Street, Bentonville, AR 72716-0235

Authorised official

Name: Linda M. Epperson
Title: Npi Coordinator
Phone: (316) 788-5580

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Mississippi →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Mississippi →

Registry record

NPI: 1114000619
Entity type: Organization
NPI issued: 20 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.