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Wal-Mart Stores East, Lp — NPI 1053404160, Perry, FL | NPI Central

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NPI 1053404160

OrganizationActive

Wal-Mart Stores East, Lp

NPI 1053404160 · Eyewear Supplier · Perry, FL

Provider details

NPI number: 1053404160
Entity type: Organization
Primary specialty: Eyewear SupplierSuppliers
Organization subpart: No
Authorized official: Nicole Gentile, Npi Coordinator(316) 788-5580

Specialties & taxonomies

Eyewear SupplierPrimary332H00000X
Suppliers
Optician156FX1800X
Eye and Vision Services Providers

Practice location

1900 S Jefferson St

Perry, FL 32348-5615

Phone: (850) 223-4179

Approximate (ZIP-level) locationGet directions

More FL providers

Mailing address

702 Sw 8th St.

Bentonville, AR 72716-0235

Other names (DBA / former)

Doing business as: Vision Center 30-5172

Registry dates

Enumerated: 2006-10-02
Last updated: 2025-09-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.