Wal-Mart Stores East, LP

NPI #1629168208 in Union City, Georgia

Provider Information

NPI Number
1629168208
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 13, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
4375 JONESBORO RD.
State
Georgia
ZIP Code
30291
Phone
(770) 964-6921

Authorized Official

Name
NICOLE D GENTILE
Title
NPI COORDINATOR
Phone
(316) 788-5580

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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