Wal-Mart Stores East, LP
NPI #1780748681 in Villiages, Florida
Provider Information
- NPI Number
- 1780748681
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, LP
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Dec 22, 2006
- Last Updated
- Sep 13, 2007
Practice Location
Authorized Official
- Name
- DAVID J. SIMMONS
- Title
- PROVIDER ENROLLMENT SPECIALIST
- Phone
- (479) 277-9373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
| Technician/Technologist - Optician — Optician |
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