Wal-Mart Stores East LP

NPI #1023372174 in Novi, Michigan

Provider Information

NPI Number: 1023372174
Entity Type: Organization
Organization Name: Wal-Mart Stores East LP
Subpart: Yes (part of a larger organization)
Parent Organization: WAL-MART STORES INC
Primary Specialty: Eyewear Supplier
Enumeration Date: Jul 3, 2012
Last Updated: Jul 3, 2012

Practice Location

Address: 26090 INGERSOL DR
City: Novi
State: Michigan
ZIP Code: 48375-1212
Phone: (248) 277-4440

Authorized Official

Name: DIANNA PAINTER
Title: ENROLLMENT SPECIALIST
Phone: (479) 277-1238

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X
Eyewear Supplier	332H00000X	Primary

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