Wal-Mart Stores East, LP

NPI #1023283629 in La Porte, Indiana

Provider Information

NPI Number
1023283629
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Apr 24, 2008
Last Updated
Apr 24, 2008

Practice Location

Address
333 BOYD BLVD
State
Indiana
ZIP Code
46350-3965
Phone
(219) 324-8471

Authorized Official

Name
DAVID J SIMMONS
Title
NPI ASSOCIATE
Phone
(479) 277-9373

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier
Technician/Technologist - OpticianOptician

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