Wal-Mart Stores East, LP
NPI #1003992249 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1003992249
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, LP
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 31, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 5859 28TH ST SE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49546-6905
- Phone
- (616) 949-7670
Authorized Official
- Name
- LINDA M. EPPERSON
- Title
- NPI COORDINATOR
- Phone
- (316) 788-5580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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