Wal-Mart Stores East, LP
NPI #1053492595 in Mansfield, Pennsylvania
Provider Information
- NPI Number
- 1053492595
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, LP
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 18, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 1169 S MAIN ST
- City
- Mansfield
- State
- Pennsylvania
- ZIP Code
- 16933-9537
- Phone
- (570) 662-1115
Authorized Official
- Name
- NICOLE D GENTILE
- Title
- NPI COORDINATOR
- Phone
- (316) 788-5580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
Similar Providers
| Provider Name | |
|---|---|
| Jefferson Medical Optical | |
| Jeffrey Kehr | |
| Good Looks Eyewear INC | |
| Farrell Aquisition Corporation | |
| Star Optical |
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