Wal-Mart Stores East, LP
Eyewear Supplier (Equipment, not the service) in Gulf Breeze, FL. Organization (NPI-2).
NPI number1114019643
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1114019643
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores East, LP
- Organization subpart
- No
- Enumeration date
- Sep 29, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
| 156FX1800X | Technician/Technologist, Optician | – | – |
Other names
- Vision Center 30-2533 (Doing Business As)
Practice location
3767 Gulf Breeze PkwyGulf Breeze, FL 32563-3528
Phone 850-934-0362
Mailing address
702 Sw 8th StBentonville, AR 72716-0235
Authorized official
Nicole D Gentile
Npi Coordinator
3167885580
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