Wal-Mart Stores East, LP
Organization Active NPI Eyewear Supplier · Dry Ridge, KY
NPI 1609958859 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1609958859
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- WAL-MART STORES EAST, LP
- Practice address
- 20 Ferguson Blvd
Dry Ridge, KY 41035-8635 - Phone
- (859) 824-0575
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician |
156FX1800X | |||
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
20 Ferguson Blvd
Dry Ridge, KY 41035-8635
Mailing address
702 SW 8TH St
Bentonville, AR 72716-6209
Other names
- Vision Center 30-0584
Other providers in Dry Ridge, KY
- Timothy J. McMahon, D.M.D, PSC, Dba Comfort Dentistry
- Total Home Senior Care LLC
- Sandra J Utter
- Melissa C Vice
- Wal-Mart Stores East LP
- Sherrianne Walker
- James Michael Ward IV
- Amanda Howell Winters
- Michelle Angela Woods
- Holly Marie Workman
All providers in Dry Ridge, 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.