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 1164503298

Wal-Mart Stores East, LP is an Optician in Mountain Grove, Missouri. Registered with an NPI since 2006.

In the registry since
2006
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

2100 N Main Ave
Mountain Grove, MO 65711-2438
Phone: (417) 926-5107
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 number1164503298
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Gentile — Npi Coordinator · (316) 788-5580
Other names Vision Center 30-0088
NPI enumeratedOctober 17, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address702 Sw 8th St., Bentonville, AR 72716-0235