Wal-Mart Stores East, LP

NPI #1508946120 in Avon, Ohio

Provider Information

NPI Number: 1508946120
Entity Type: Organization
Organization Name: Wal-Mart Stores East, LP
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 17, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 35901 CHESTER RD
City: Avon
State: Ohio
ZIP Code: 44011-1069
Phone: (440) 937-4750

Authorized Official

Name: NICOLE D GENTILE
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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