Wal-Mart Stores East, LP

NPI #1083797187 in Dothan, Alabama

Provider Information

NPI Number: 1083797187
Entity Type: Organization
Organization Name: Wal-Mart Stores East, LP
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 23, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 4310 MONTGOMERY HWY
City: Dothan
State: Alabama
ZIP Code: 36303-1576
Phone: (334) 793-3099

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X
Eyewear Supplier	332H00000X	Primary

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