WAL-MART STORES EAST, LP; NPI #1588727655

Contact Information

WAL-MART STORES EAST, LP

700 W. IRELAND RD.
SOUTH BEND, IN 46614

Phone: 574-299-1477
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Eyewear Supplier	332H00000X	87	All Other Suppliers
Optician	156FX1800X	96[5]	Optician

Indicates primary specialty

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NPI Profile & details for WAL-MART STORES EAST, LP

NPI #	`1588727655`
LBN Legal business name	WAL-MART STORES EAST, LP
Authorized official	BJ RICE - (PROVIDER ENROLLMENT SPECIALIST)
Entity	Organization
Organization subpart ¹	No
Enumeration date	12/19/2006
Last updated	09/11/2025 - About 9 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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