Wal-Mart Stores East LP

NPI #1669635405 in Potsdam, New York

Provider Information

NPI Number
1669635405
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Jul 2, 2008
Last Updated
Jul 2, 2008

Practice Location

Address
7494 US HIGHWAY 11
ZIP Code
13676-3577
Phone
(315) 268-6921

Authorized Official

Name
DAVID J SIMMONS
Title
NPI ASSOCIATE
Phone
(479) 277-9373

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier
Technician/Technologist - OpticianOptician

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