Wal-Mart Stores East, Lp.

NPI #1265209696 in Vestal, New York

Provider Information

NPI Number: 1265209696
Entity Type: Organization
Organization Name: Wal-Mart Stores East, Lp.
Primary Specialty: Technician/Technologist - Optician
Enumeration Date: Dec 6, 2023
Last Updated: Dec 6, 2023

Practice Location

Address: 2405 VESTAL PKWY E
City: Vestal
State: New York
ZIP Code: 13850-2018

Authorized Official

Name: MICHELE GARVEY
Title: DIRECTOR OF HEALTH CARE CONTRACTING
Phone: (479) 277-2611

Specialties & Taxonomy Codes

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

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