Wal-Mart Stores East, LP

NPI #1376626002 in Madison, Indiana

Provider Information

NPI Number: 1376626002
Entity Type: Organization
Organization Name: Wal-Mart Stores East, LP
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 24, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 567 IVY TECH DR
City: Madison
State: Indiana
ZIP Code: 47250-1802
Phone: (812) 273-4993

Authorized Official

Name: LINDA M. EPPERSON
Title: NPI COORDINATOR
Phone: (316) 788-5580

Specialties & Taxonomy Codes

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

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