Organization · NPI-2

Wal-Mart Stores Louisiana, LLC

Eyewear Supplier (Equipment, not the service) · Lafayette, LA

NPI number1497824874
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1497824874
Entity type
Organization (NPI-2)
Legal business name
Wal-Mart Stores Louisiana, LLC
Organization subpart
No
Enumeration date
Nov 7, 2006
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332H00000X Eyewear Supplier (Equipment, not the service)––Yes
156FX1800X Technician/Technologist, Optician––

Other names

  • Vision Center 30-0531 (Doing Business As)

Practice location

3142 Ambassador Caffery Pkwy
Lafayette, LA 70506-7210

Phone 337-989-4082

Mailing address

702 Sw 8th St
Bentonville, AR 72716-6209

Authorized official

Nicole D Gentile
Npi Coordinator
3167885580

Is something wrong?

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