NPI 1386744647

Wal-Mart Stores East, LP

Organisation Eyewear Supplier Bloomington, IN

Practice location

Address: 3201 West State Hwy 45, Bloomington, IN 47403
Phone: (812) 335-1788
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: 1386744647
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.