Wal-Mart Stores East, LP

NPI #1497838049 in Wausau, Wisconsin

Provider Information

NPI Number
1497838049
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
4300 RIB MOUNTAIN DR
City
Wausau
ZIP Code
54401-6604
Phone
(715) 359-2282

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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