Wal-Mart Stores East, LP
NPI #1689736233 in Manning, South Carolina
Provider Information
- NPI Number
- 1689736233
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, LP
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Dec 13, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 529 PAXVILLE HWY
- City
- Manning
- State
- South Carolina
- ZIP Code
- 29102
- Phone
- (803) 435-6686
Authorized Official
- Name
- MR. BJ RICE
- Title
- PROVIDER ENROLLMENT SPECIALIST
- Phone
- (479) 277-9835
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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| Lancaster Eye Clinic, PA | |
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