Wal-Mart Stores East, LP

NPI #1144305061 in Bastrop, Louisiana

Provider Information

NPI Number: 1144305061
Entity Type: Organization
Organization Name: Wal-Mart Stores East, LP
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 26, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 6091 HWY 165
City: Bastrop
State: Louisiana
ZIP Code: 71220
Phone: (318) 281-9384

Authorized Official

Name: TAMMY J BOYD
Title: CONTRACT COORDINATOR
Phone: (479) 277-1359

Specialties & Taxonomy Codes

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

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