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Wal-Mart Stores East, LP

Organization Active NPI Eyewear Supplier · Raymore, MO

NPI 1598848871 · NPPES record last updated Sep 11, 2025

Key facts

NPI
1598848871
Entity type
Organization (NPI type 2)
Primary specialty
Eyewear Supplier 332H00000X
Legal business name
WAL-MART STORES EAST, LP
Practice address
2015 W Foxwood Dr
Raymore, MO 64083-9380
Phone
(816) 322-5455
NPI assigned
Oct 23, 2006
Organization subpart
No

Authorized official

Name
Nicole D Gentile
Title
Npi Coordinator
Phone
(316) 788-5580

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)

Specialties & licenses

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

Addresses

Primary practice location

2015 W Foxwood Dr
Raymore, MO 64083-9380

Mailing address

702 SW 8TH St.
Bentonville, AR 72716-0235

Other names

  • Vision Center 30-0319 Doing business as

Other providers in Raymore, MO

All providers in Raymore, MO · Eyewear Supplier in Missouri

Sources for this page

Verify at the official NPI Registry.