Wal-Mart Stores East, LP

NPI #1609959824 in Fenton, Missouri

Provider Information

NPI Number: 1609959824
Entity Type: Organization
Organization Name: Wal-Mart Stores East, LP
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 23, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 653 GRAVOIS BLUFFS BLVD
City: Fenton
State: Missouri
ZIP Code: 63026-7715
Phone: (636) 349-3116

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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