Wal-Mart Stores Easts, Lp.

NPI #1659819092 in Carencro, Louisiana

Provider Information

NPI Number: 1659819092
Entity Type: Organization
Organization Name: Wal-Mart Stores Easts, Lp.
Subpart: Yes (part of a larger organization)
Parent Organization: WAL-MART STORES, INC.
Primary Specialty: Eyewear Supplier
Enumeration Date: Feb 6, 2017
Last Updated: Feb 6, 2017

Practice Location

Address: 3810 NE EVANGELINE TRWY
City: Carencro
State: Louisiana
ZIP Code: 70520-5966
Phone: (337) 520-3009

Authorized Official

Name: LAURA LEVINE
Title: DIR HEALTHCARE CONTRACT&ENROLLMENT
Phone: (479) 204-8550

Specialties & Taxonomy Codes

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

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