Wal-Mart Stores East, LP

NPI #1043375868 in Johnson City, Tennessee

Provider Information

NPI Number
1043375868
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Dec 22, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
2915 W MARKET ST
ZIP Code
37604-9086
Phone
(423) 434-2703

Authorized Official

Name
BJ RICE
Title
PROVIDER ENROLLMENT SPECIALIST
Phone
(479) 277-9835

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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