Wal-Mart Stores East, LP

NPI #1184705550 in Monroe, Georgia

Provider Information

NPI Number
1184705550
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 18, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
2050 W SPRING ST
City
Monroe
State
Georgia
ZIP Code
30655-3164
Phone
(770) 267-4527

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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