Wal-Mart Stores East, LP
Organization Active NPI Eyewear Supplier · Henderson, KY
NPI 1306901202 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1306901202
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- WAL-MART STORES EAST, LP
- Practice address
- 1195 Barrett Blvd.
Henderson, KY 42420 - Phone
- (270) 831-8686
- NPI assigned
- Dec 22, 2006
- Organization subpart
- No
Authorized official
- Name
- BJ Rice
- Title
- Provider Enrollment Specialist
- Phone
- (479) 277-9835
Corporate family (same tax ID) 24
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
1195 Barrett Blvd.
Henderson, KY 42420
Mailing address
702 SW 8TH St.
Bentonville, AR 72716-0235
Other names
- Wal-Mart Vision Center 30-0694
Other providers in Henderson, KY
- Myrian Noella Vinan Vega
- Son Vo
- Lori Vowels
- Robert Gene Wagoner II
- Wal-Mart Stores East LP
- Walgreen Co
- Walgreen Co
- Walgreen Co.
- Alisha Walters
- David A Watkins
All providers in Henderson, KY · Eyewear Supplier in Kentucky
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.