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 1902771173

Wal-Mart Stores East , LP is an Optician in Broken Arrow, Oklahoma. Registered with an NPI since 2025.

In the registry since
2025
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

2301 W Kenosha St
Broken Arrow, OK 74012-8912
Phone: (918) 505-6908
Fax: (918) 505-6909
Show map & directions

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

Specialties & licences

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

Record details

NPI number1902771173
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director · (479) 371-1168
Other names Walmart Pharmacy 10-0472
NPI enumeratedOctober 8, 2025
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025
Mailing address1 Customer Dr, Bentonville, AR 72716-0445

Other providers in Broken Arrow