Wal-Mart Stores East, LP

NPI #1790874998 in Cedartown, Georgia

Provider Information

NPI Number
1790874998
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 12, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
1585 ROME HWY
State
Georgia
ZIP Code
30125-4402
Phone
(813) 672-0739

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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