Wal-Mart Stores East, LP
NPI #1336225549 in South Boston, Virginia
Provider Information
- NPI Number
- 1336225549
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, LP
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 31, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 3471 OLD HALIFAX RD
- City
- South Boston
- State
- Virginia
- ZIP Code
- 24592-4936
- Phone
- (434) 575-0680
Authorized Official
- Name
- LINDA M. EPPERSON
- Title
- NPI COORDINATOR
- Phone
- (316) 788-5580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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