Wal-Mart Stores East, LP
NPI #1194808311 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1194808311
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, LP
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 23, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 377 N ROLLING MEADOWS DR
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54937-9726
- Phone
- (920) 921-6311
Authorized Official
- Name
- LINDA M. EPPERSON
- Title
- NPI COORDINATOR
- Phone
- (316) 788-5580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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