Wal-Mart Stores East, LP

NPI #1912917014 in West Union, Ohio

Provider Information

NPI Number: 1912917014
Entity Type: Organization
Organization Name: Wal-Mart Stores East, LP
Primary Specialty: Eyewear Supplier
Enumeration Date: Aug 9, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 11217 STATE ROUTE 41
City: West Union
State: Ohio
ZIP Code: 45693-9397
Phone: (937) 544-7198

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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