Wal-Mart Stores East, LP
NPI #1114082997 in Macclenny, Florida
Provider Information
- NPI Number
- 1114082997
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, LP
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Dec 22, 2006
- Last Updated
- Sep 11, 2025
Practice Location
Authorized Official
- Name
- BJ RICE
- Title
- PROVIDER ENROLLMENT SPECIALIST
- Phone
- (479) 277-9835
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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