Wal-Mart Stores Louisiana, LLC
NPI #1134202906 in Baton Rouge, Louisiana
Provider Information
- NPI Number
- 1134202906
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores Louisiana, LLC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 23, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 10606 N MALL DR
- City
- Baton Rouge
- State
- Louisiana
- ZIP Code
- 70809-4800
- Phone
- (225) 291-8104
Authorized Official
- Name
- NICOLE D GENTILE
- Title
- NPI COORDINATOR
- Phone
- (316) 788-5580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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