Wal-Mart Stores East, LP

NPI #1730264300 in Ashland City, Tennessee

Provider Information

NPI Number
1730264300
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 25, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
1626 ST. ROUTE 12 SO.
ZIP Code
37015
Phone
(615) 792-7782

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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