Wal-Mart Stores East, LP

NPI #1235221748 in Clermont, Florida

Provider Information

NPI Number
1235221748
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Sep 29, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
1450 JOHNS LAKE RD.
State
Florida
ZIP Code
34711
Phone
(352) 243-6151

Authorized Official

Name
NICOLE D GENTILE
Title
NPI COORDINATOR
Phone
(316) 788-5580

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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