Wal-Mart Stores East, LP
Organization Active NPI Eyewear Supplier · Cookeville, TN
NPI 1801978713 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1801978713
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- WAL-MART STORES EAST, LP
- Practice address
- 768 S Jefferson Ave
Cookeville, TN 38501-4070 - Phone
- (931) 520-0232
- 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
768 S Jefferson Ave
Cookeville, TN 38501-4070
Mailing address
702 SW 8TH St.
Bentonville, AR 72716-0235
Other names
- Vision Center 30-0657
Other providers in Cookeville, TN
- Leona Wagner
- Rachel Marie Wakefield
- Wal-Mart Stores East LP
- Wal-Mart Stores East LP
- Wal-Mart Stores East, LP
- Walgreen Co
- Walgreen Co
- Walgreen Co
- Walker Hearing Services, Inc.
- Bonnie Arlene Walker
All providers in Cookeville, TN · Eyewear Supplier in Tennessee
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.