Wal-Mart Stores East, LP

Organization Active NPI Eyewear Supplier · Elizabeth City, NC

NPI 1487719092 · NPPES record last updated Sep 11, 2025

Key facts

NPI
1487719092
Entity type
Organization (NPI type 2)
Primary specialty
Eyewear Supplier 332H00000X
Legal business name
WAL-MART STORES EAST, LP
Practice address
101 Tanglewood Pkwy
Elizabeth City, NC 27909
Phone
(702) 434-2040
NPI assigned
Dec 26, 2006
Organization subpart
No

Authorized official

Name
BJ Rice
Title
Provider Enrollment Specialist
Phone
(479) 277-9835

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Ability Network (4,651 organizations share this tax ID)

Locations

101 Tanglewood Pkwy N
Elizabeth City, NC 27909
Phone (252) 338-1927

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
156FX1800X
Eyewear Supplier 332H00000X Yes

Addresses

Primary practice location

101 Tanglewood Pkwy
Elizabeth City, NC 27909

Mailing address

702 SW 8TH St
Bentonville, AR 72716-6209

Other names

  • Wal-Mart Vision Center 30-1527 Doing business as

Other providers in Elizabeth City, NC

All providers in Elizabeth City, NC · Eyewear Supplier in North Carolina

Sources for this page

Verify at the official NPI Registry.