Wal-Mart Stores East, LP

NPI #1467517375 in Chamblee, Georgia

Provider Information

NPI Number
1467517375
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Dec 22, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
5147 PEACHTREE INDUSTRIAL BLVD
State
Georgia
ZIP Code
30341-2727
Phone
(770) 455-7110

Authorized Official

Name
BJ RICE
Title
PROVIDER ENROLLMENT SPECIALIST
Phone
(479) 277-9835

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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