Wal-Mart Stores East, LP

NPI #1063594208 in Oneida, Tennessee

Provider Information

NPI Number
1063594208
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 19, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
19740 ALBERTA ST
City
Oneida
ZIP Code
37841-3305
Phone
(423) 569-6228

Authorized Official

Name
NICOLE D GENTILE
Title
NPI COORDINATOR
Phone
(316) 788-5580

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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