Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wal-Mart Stores East, LP

Organization Optician · NPI 1104361500

Wal-Mart Stores East, LP is an Optician in Stoughton, Wisconsin. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
What do these letters mean?
LP — Limited partnership
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2600 State Hwy 138
Stoughton, WI 53589-3701
Phone: (608) 501-6101
Fax: (608) 877-0428
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X
Optician Taxonomy 156FX1800X

Record details

NPI number1104361500
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWal-Mart Stores, Inc
Authorized official Kimberly Canonic — Sr. Director · (480) 853-0515
Other names Walmart Vision Center 30-1176
NPI enumeratedDecember 21, 2016
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026
Mailing address1 Customer Dr, Ms 0445, Bentonville, AR 72716-0445

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