Wal-Mart Stores East, L.p.

NPI #1962611152 in Millville, New Jersey

Provider Information

NPI Number: 1962611152
Entity Type: Organization
Organization Name: Wal-Mart Stores East, L.p.
Primary Specialty: Eyewear Supplier
Enumeration Date: May 22, 2007
Last Updated: Sep 11, 2025

Practice Location

Address: 2291 N 2ND ST
City: Millville
State: New Jersey
ZIP Code: 08332-1305
Phone: (856) 825-8964

Authorized Official

Name: MR. DAVID 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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