Wal-Mart Stores East, LP
NPI #1053496976 in Janesville, Wisconsin
Provider Information
- NPI Number
- 1053496976
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, LP
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 26, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 3800 DEERFIELD DR
- City
- Janesville
- State
- Wisconsin
- ZIP Code
- 53545
- Phone
- (608) 754-7800
Authorized Official
- Name
- TAMMY J BOYD
- Title
- CONTRACT COORDINATOR
- Phone
- (479) 277-1359
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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