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Wal-Mart Stores East, LP

Organization Active NPI Eyewear Supplier · Brick, NJ

NPI 1720169113 · NPPES record last updated Sep 11, 2025

Key facts

NPI
1720169113
Entity type
Organization (NPI type 2)
Primary specialty
Eyewear Supplier 332H00000X
Legal business name
WAL-MART STORES EAST, LP
Practice address
1872 Route 88
Brick, NJ 08724-3535
Phone
(732) 840-7772
NPI assigned
Oct 18, 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

1872 Route 88
Brick, NJ 08724-3535

Mailing address

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

Other names

  • Vision Center 30-1977 Doing business as

Other providers in Brick, NJ

All providers in Brick, NJ · Eyewear Supplier in New Jersey

Sources for this page

Verify at the official NPI Registry.