NPI 1962580902

Wal-Mart Stores East, LP

Organisation Eyewear Supplier Kingsport, TN

Practice location

Address: 2500 W Stone Dr, Kingsport, TN 37660-2356
Phone: (423) 246-4676
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 Tennessee →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Tennessee →

Registry record

NPI: 1962580902
Entity type: Organization
NPI issued: 1 Nov 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.