Wal-Mart Stores East, LP
NPI #1174639827 in Evans Mills, New York
Provider Information
- NPI Number
- 1174639827
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, LP
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Aug 22, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 25737 US ROUTE 11
- City
- Evans Mills
- State
- New York
- ZIP Code
- 13637-3221
- Phone
- (315) 629-2124
Authorized Official
- Name
- TAMMY J BOYD
- Title
- CONTRACT COORDINATOR
- Phone
- (479) 277-1359
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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