Wal-Mart Stores East LP

NPI #1033223912 in Amherst, New York

Provider Information

NPI Number: 1033223912
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: Aug 18, 2006
Last Updated: Dec 6, 2011

Practice Location

Address: 3290 SHERIDAN DR
City: Amherst
State: New York
ZIP Code: 14226
Phone: (716) 691-1192

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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