Wal-Mart Stores East, LP

NPI #1144323775 in Madison, Ohio

Provider Information

NPI Number
1144323775
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Sep 7, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
6067 N RIDGE RD
State
Ohio
ZIP Code
44057-2441
Phone
(440) 417-0010

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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