Wal-Mart Stores East, LP

NPI #1750463667 in Shawano, Wisconsin

Provider Information

NPI Number: 1750463667
Entity Type: Organization
Organization Name: Wal-Mart Stores East, LP
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 19, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 1244 E GREEN BAY ST
City: Shawano
State: Wisconsin
ZIP Code: 54166-2208
Phone: (715) 524-5980

Authorized Official

Name: LINDA M. EPPERSON
Title: NPI COORDINATOR
Phone: (316) 788-5580

Specialties & Taxonomy Codes

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

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