Wal-Mart Stores East, LP
NPI #1225191901 in Dodgeville, Wisconsin
Provider Information
- NPI Number
- 1225191901
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, LP
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Dec 18, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 601 LEFFLER ST.
- City
- Dodgeville
- State
- Wisconsin
- ZIP Code
- 53533
- Phone
- (608) 935-7452
Authorized Official
- Name
- MR. BJ RICE
- Title
- PROVIDER ENROLLMENT SPECIALIST
- Phone
- (479) 277-9835
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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