Wal-Mart Stores East, LP

NPI #1588746499 in Tawas City, Michigan

Provider Information

NPI Number: 1588746499
Entity Type: Organization
Organization Name: Wal-Mart Stores East, LP
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 19, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 621 E LAKE ST
City: Tawas City
State: Michigan
ZIP Code: 48763-9213
Phone: (989) 984-0854

Authorized Official

Name: LINDA M. EPPERSON
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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