Wal-Mart Stores East LP
NPI #1235520370 in New Berlin, Wisconsin
Provider Information
- NPI Number
- 1235520370
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WAL-MART STORES INC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Feb 11, 2015
- Last Updated
- Feb 11, 2015
Practice Location
- Address
- 15205 W GREENFIELD AVE
- City
- New Berlin
- State
- Wisconsin
- ZIP Code
- 53151-1519
- Phone
- (479) 258-2115
Authorized Official
- Name
- DEB LAUVER
- Title
- SPECIALIST PLAN ENROLLMENT
- Phone
- (479) 258-2115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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