NPI 1609959824

Wal-Mart Stores East, LP

Organisation Eyewear Supplier Fenton, MO

Practice location

Address: 653 Gravois Bluffs Blvd, Fenton, MO 63026-7715
Phone: (636) 349-3116
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 Missouri →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Missouri →

Registry record

NPI: 1609959824
Entity type: Organization
NPI issued: 23 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.