Wal-Mart Stores East, Lp,

NPI #1114000619 in Madison, Mississippi

Provider Information

NPI Number: 1114000619
Entity Type: Organization
Organization Name: Wal-Mart Stores East, Lp,
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 20, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 127 GRANDVIEW DR
City: Madison
State: Mississippi
ZIP Code: 39110-7595
Phone: (601) 605-9662

Authorized Official

Name: LINDA M. EPPERSON
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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