Wal-Mart Stores East, L.p.
NPI #1508997024 in Elizabethville, Pennsylvania
Provider Information
- NPI Number
- 1508997024
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, L.p.
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Mar 8, 2007
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 200 KOCHER LANE
- City
- Elizabethville
- State
- Pennsylvania
- ZIP Code
- 17023
- Phone
- (717) 362-4449
Authorized Official
- Name
- DAVID J. SIMMONS
- Title
- NPI ASSOCIATE
- Phone
- (479) 277-9373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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