Wal-Mart Stores East, LP

NPI #1336230549 in Viera, Florida

Provider Information

NPI Number
1336230549
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Sep 27, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
8500 N WICKHAM RD
City
Viera
State
Florida
ZIP Code
32940-6600
Phone
(321) 242-0225

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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