Wal-Mart Stores East, LP

NPI #1205918430 in Angola, Indiana

Provider Information

NPI Number: 1205918430
Entity Type: Organization
Organization Name: Wal-Mart Stores East, LP
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 19, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 2016 N WAYNE ST
City: Angola
State: Indiana
ZIP Code: 46703-9102
Phone: (260) 665-7313

Authorized Official

Name: LINDA M. EPPERSON
Title: NPI COORDINATOR
Phone: (316) 788-5580

Specialties & Taxonomy Codes

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

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