Wal-Mart Stores East, LP

NPI #1114008018 in Bolivar, Missouri

Provider Information

NPI Number
1114008018
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
2451 S SPRINGFIELD AVE
ZIP Code
65613-9123
Phone
(417) 326-8424

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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