NPI 1588727655

Wal-Mart Stores East, LP

Organisation Eyewear Supplier South Bend, IN

Practice location

Address: 700 W. Ireland Rd., South Bend, IN 46614
Phone: (574) 299-1477
Mailing address: 702 SW 8th St., Bentonville, AR 72716-0235

Authorised official

Name: Bj Rice
Title: Provider Enrollment Specialist
Phone: (479) 277-9835

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: 1588727655
Entity type: Organization
NPI issued: 19 Dec 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.