NPI 1902997448

Wal-Mart Stores East, LP

Organisation Eyewear Supplier Port Orange, FL

Practice location

Address: 1590 Dunlawton Ave, Port Orange, FL 32127-4752
Phone: (386) 756-2711
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: 1902997448
Entity type: Organization
NPI issued: 28 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.