Wal-Mart Stores East , LP
NPI #1902771173 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1902771173
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East , LP
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Oct 8, 2025
- Last Updated
- Oct 8, 2025
Practice Location
- Address
- 2301 W KENOSHA ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-8912
- Phone
- (918) 505-6908
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- SENIOR DIRECTOR
- Phone
- (479) 371-1168
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
| Technician/Technologist - Optician — Optician |
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