Wal-Mart Stores East, LP

NPI #1821151432 in Burlington, North Carolina

Provider Information

NPI Number
1821151432
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Dec 18, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
3141 GARDEN RD
ZIP Code
27215-9786
Phone
(336) 584-9294

Authorized Official

Name
MR. BJ RICE
Title
PROVIDER ENROLLMENT SPECIALIST
Phone
(479) 277-9835

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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