NPI 1770677064

Wal-Mart Stores East, LP

Organisation Eyewear Supplier Orange Park, FL

Practice location

Address: 1505 County Road 220, Orange Park, FL 32003-7926
Phone: (904) 278-1836
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 Florida →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Florida →

Registry record

NPI: 1770677064
Entity type: Organization
NPI issued: 3 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.