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Wal-Mart Stores East, Lp — NPI 1114009008, Ballwin, MO | NPI Central

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NPI 1114009008

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Wal-Mart Stores East, Lp

NPI 1114009008 · Optician · Ballwin, MO

Provider details

NPI number: 1114009008
Entity type: Organization
Primary specialty: OpticianEye and Vision Services Providers
Organization subpart: No
Authorized official: Holly Wilkinson, Health & Wellness Optical Insurance(479) 204-8320

Specialties & taxonomies

OpticianPrimary156FX1800X
Eye and Vision Services Providers
Eyewear Supplier332H00000X
Suppliers

Practice location

201 Highlands Boulevard Dr

Ballwin, MO 63011-4383

Phone: (636) 256-0697

Approximate (ZIP-level) locationGet directions

More MO providers

Mailing address

702 Sw 8th St.

Bentonville, AR 72716-0235

Other names (DBA / former)

Doing business as: Vision Center 30-1177

Registry dates

Enumerated: 2006-10-19
Last updated: 2009-09-03

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