Wal-Mart Stores East, LP
NPI #1548367907 in Germantown, Wisconsin
Provider Information
- NPI Number
- 1548367907
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, LP
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- W. 190 N. 9855 APPLETON AVENUE
- City
- Germantown
- State
- Wisconsin
- ZIP Code
- 53022
- Phone
- (262) 253-7290
Authorized Official
- Name
- NICOLE D GENTILE
- Title
- NPI COORDINATOR
- Phone
- (316) 788-5580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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