Wal-Mart Stores East, LP
Organization Active NPI Eyewear Supplier · Live Oak, FL
NPI 1013009554 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1013009554
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- WAL-MART STORES EAST, LP
- Practice address
- 6868 US Highway 129
Live Oak, FL 32060-8476 - Phone
- (386) 330-2488
- NPI assigned
- Sep 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Nicole D Gentile
- Title
- Npi Coordinator
- Phone
- (316) 788-5580
Corporate family (same tax ID) 13
National Provider Directory
- Tax ID family
- Ability Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician |
156FX1800X | |||
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
6868 US Highway 129
Live Oak, FL 32060-8476
Mailing address
702 SW 8TH St
Bentonville, AR 72716-0235
Other names
- Vision Center 30-2626
Other providers in Live Oak, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.