Organization Name: | WAL-MART STORES EAST, LP |
NPI Number: | 1508031378 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID J SIMMONS (NPI ASSOCIATE) |
Mailing Address: | 8191 Upland Way Camby |
State: | IN US |
Postal Code: | 46113 |
Phone Number: | 3178569609 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2008 |
NPI Last Update Date: | 04/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |