Wal-Mart Stores East, LP

NPI #1205931698 in Greenwood, Indiana

Provider Information

NPI Number: 1205931698
Entity Type: Organization
Organization Name: Wal-Mart Stores East, LP
Primary Specialty: Eyewear Supplier
Enumeration Date: Sep 13, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 1133 N EMERSON AVE
City: Greenwood
State: Indiana
ZIP Code: 46143-9763
Phone: (317) 855-9059

Authorized Official

Name: TAMMY J BOYD
Title: CONTRACT COORDIANTOR
Phone: (479) 277-1359

Specialties & Taxonomy Codes

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

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