Wal-Mart Stores East, LP

NPI #1023477320 in Sunrise, Florida

Provider Information

NPI Number: 1023477320
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: Feb 15, 2016
Last Updated: Feb 15, 2016

Practice Location

Address: 3306 N UNIVERSITY DR
City: Sunrise
State: Florida
ZIP Code: 33351-6720
Phone: (954) 331-5929

Authorized Official

Name: LAURA LEVINE
Title: DIR HEALTHCARE CONTRACT & ENROLL
Phone: (479) 204-8550

Specialties & Taxonomy Codes

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

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