Wal-Mart Stores East, LP
Organization Active NPI Eyewear Supplier · Waynesboro, GA
NPI 1316029465 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1316029465
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- WAL-MART STORES EAST, LP
- Practice address
- 1500 N Liberty St
Waynesboro, GA 30830-3443 - Phone
- (706) 437-8380
- NPI assigned
- Oct 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Nicole D Gentile
- Title
- Npi Coordinator
- Phone
- (316) 788-5580
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Ability Network
Locations
1500 N Liberty St
Waynesboro, GA 30830
Phone (706) 437-8380
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician |
156FX1800X | |||
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
1500 N Liberty St
Waynesboro, GA 30830-3443
Mailing address
702 SW 8TH St.
Bentonville, AR 72716-0235
Other names
- Vision Center 30-2754
Other providers in Waynesboro, GA
- Total Renal Care Inc
- University Health Services, Inc.
- Juan Vicens
- Quianna Wadley
- Wal-Mart Stores East LP
- Walgreen Co
- Waynesboro Dialysis Clinic LLC
- White Columns Consulting, Inc.
- Jessica Nichole Wiley
- Aja Wimberly
All providers in Waynesboro, GA · Eyewear Supplier in Georgia
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.