Wal-Mart Stores East, LP

NPI #1831296433 in Ithaca, New York

Provider Information

NPI Number
1831296433
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Sep 19, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
135 FAIRGROUNDS MEMORIAL PKWY
City
Ithaca
ZIP Code
14850-5362
Phone
(607) 277-4510

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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