Wal-Mart Stores East, LP
NPI #1003085705 in Edgewood, New Mexico
Provider Information
- NPI Number
- 1003085705
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, LP
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Feb 27, 2008
- Last Updated
- Sep 1, 2023
Practice Location
- Address
- 66 STATE ROAD #344
- City
- Edgewood
- State
- New Mexico
- ZIP Code
- 87015
- Phone
- (505) 286-3119
Authorized Official
- Name
- DAVID J SIMMONS
- Title
- NPI ASSOCIATE
- Phone
- (479) 277-9373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
| Technician/Technologist - Optician — Optician |
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