Wal-Mart Stores East, LP

NPI #1154412591 in Bushnell, Florida

Provider Information

NPI Number
1154412591
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Sep 28, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
2163 W C 48
State
Florida
ZIP Code
33513-8999
Phone
(352) 793-1300

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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