Wal-Mart Stores East, LP

NPI #1760568950 in Clio, Michigan

Provider Information

NPI Number: 1760568950
Entity Type: Organization
Organization Name: Wal-Mart Stores East, LP
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 31, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 11493 NORTH LINDEN RD
City: Clio
State: Michigan
ZIP Code: 48420
Phone: (810) 564-9264

Authorized Official

Name: TAMMY J BOYD
Title: CONTRACT COORDINATOR
Phone: (479) 277-1359

Specialties & Taxonomy Codes

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

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