Wal-Mart Stores East, L.p.

NPI #1922139344 in Ruskin, Florida

Provider Information

NPI Number: 1922139344
Entity Type: Organization
Organization Name: Wal-Mart Stores East, L.p.
Primary Specialty: Eyewear Supplier
Enumeration Date: Mar 8, 2007
Last Updated: Sep 11, 2025

Practice Location

Address: 4928 STATE RD. 674
City: Ruskin
State: Florida
ZIP Code: 33598
Phone: (813) 633-8606

Authorized Official

Name: DAVID J. SIMMONS
Title: NPI ASSOCIATE
Phone: (479) 277-9373

Specialties & Taxonomy Codes

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

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