Wal-Mart Stores East, LP

NPI #1902819790 in Mentor, Ohio

Provider Information

NPI Number: 1902819790
Entity Type: Organization
Organization Name: Wal-Mart Stores East, LP
Primary Specialty: Eyewear Supplier
Enumeration Date: Aug 14, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 9303 MENTOR AVE
City: Mentor
State: Ohio
ZIP Code: 44060-6413
Phone: (440) 974-3300

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X
Eyewear Supplier	332H00000X	Primary

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