Wal-Mart Stores East, LP

NPI #1194857540 in Waveland, Mississippi

Provider Information

NPI Number: 1194857540
Entity Type: Organization
Organization Name: Wal-Mart Stores East, LP
Primary Specialty: Eyewear Supplier
Enumeration Date: Mar 12, 2007
Last Updated: Sep 11, 2025

Practice Location

Address: 460 HIGHWAY 90
City: Waveland
State: Mississippi
ZIP Code: 39576-2508
Phone: (228) 467-4371

Authorized Official

Name: SABRINA N SUTTON
Title: NPI ASSOCIATE
Phone: (479) 277-1175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X
Eyewear Supplier	332H00000X	Primary

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