WAL-MART STORES EAST , LP
NPI 1902771173
Technician/Technologist - Optician in Broken Arrow, OK

Q: What is Wal-Mart Stores East , LP's NPI number?

The NPI number for Wal-Mart Stores East , LP is 1902771173. It was assigned to this organization in the NPPES registry on October 8, 2025. The provider is doing business as Walmart Pharmacy 10-0472.

Q: What is Wal-Mart Stores East , LP's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

Active since October 08, 2025

2301 W KENOSHA ST, BROKEN ARROW, OK 74012(918) 505-6908(918) 505-6909 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Wal-mart Stores East , Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAL-MART STORES EAST , LP (NPI 1902771173), doing business as Walmart Pharmacy 10-0472, is a healthcare organization registered as an optician in Broken Arrow, Oklahoma and active in the NPI registry since October 2025. The organization lists Kimberly Canonic, Senior Director, as its authorized official.

NPPES Registry Identity

NPI1902771173

Entity TypeOrganization

Primary Taxonomy156FX1800X

Legal Business NameWAL-MART STORES EAST , LP

Location Address2301 W KENOSHA STBroken Arrow, OK 74012-8912

Mailing Address1 Customer DrBentonville, AR 72716-0445

Phone(918) 505-6908

Fax(918) 505-6909

Organization SubpartNo

Authorized OfficialKimberly CanonicSenior Director · (479) 371-1168

Enumeration DateOctober 8, 2025

NPPES CertifiedOctober 8, 2025

✔ NPI 1902771173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers

Taxonomy Code156FX1800X

Definition

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Also ListedEyewear SupplierTaxonomy 332H00000X

2301 W KENOSHA ST, Broken Arrow, OK 74012

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Other Names 1

Doing Business AsWalmart Pharmacy 10-0472

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SABRINA DUNAWAY PHARMD

Pharmacist