OrganizationActive
Wal-Mart Stores East, Lp
NPI 1780767061 · Optician · Eureka, MO
Provider details
- NPI number
- 1780767061
- Entity type
- Organization
- Primary specialty
- OpticianEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Matt Mcmullin, Dir Enrollment Contracting(479) 371-8711
Specialties & taxonomies
Eye and Vision Services Providers
- Eyewear Supplier332H00000X
Suppliers
Practice location
131 Eureka Towne Center Dr
Eureka, MO 63025-1031
Phone: (636) 587-9775
Fax: (636) 587-9796
Approximate (ZIP-level) locationGet directions
Mailing address
702 Sw 8th St.
Bentonville, AR 72716-0235
Other names (DBA / former)
- Doing business as
- Vision Center 30-0295
- Doing business as
- Vision Center 30-0295
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2023-05-18
- Certified
- 2023-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.