Wal-Mart Stores East, LP

NPI #1528143369 in Riverdale, New Jersey

Provider Information

NPI Number: 1528143369
Entity Type: Organization
Organization Name: Wal-Mart Stores East, LP
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 26, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 48 RT 23 N
City: Riverdale
State: New Jersey
ZIP Code: 07457
Phone: (973) 835-5812

Authorized Official

Name: TAMMY J BOYD
Title: CONTRACT COORDINATOR
Phone: (479) 277-1359

Specialties & Taxonomy Codes

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

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