Wal-Mart Stores East, LP

NPI #1265768436 in Lutz, Florida

Provider Information

NPI Number: 1265768436
Entity Type: Organization
Organization Name: Wal-Mart Stores East, LP
Primary Specialty: Technician/Technologist - Optician
Enumeration Date: Oct 23, 2009
Last Updated: Oct 23, 2009

Practice Location

Address: 1575 LAND O LAKES BLVD
City: Lutz
State: Florida
ZIP Code: 33549-2930
Phone: (813) 949-4238

Authorized Official

Name: HOLLY C WILKINSON
Title: HEALTH & WELLNESS OPTICAL INSURANCE
Phone: (479) 204-8320

Specialties & Taxonomy Codes

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

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