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Wal-mart Stores East, Lp
Eyewear Supplier in Jefferson, Wisconsin
NPI 1184093619

Wal-mart Stores East, Lp is a Eyewear Supplier based in Bentonville, WI. Wal-mart Stores East, Lp practices in Jefferson, WI. The NPI Number for Wal-mart Stores East, Lp is 1184093619 and holds a License No. (Wisconsin).

The current practice location address for Wal-mart Stores East, Lp is 1520 S Main St, Jefferson, WI and can be reached out via phone at 920-605-3004 and via fax at 920-674-2176.

Location: 1520 S Main St, Jefferson, WI, 72716-0445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184093619
Provider Name
Wal-mart Stores East, Lp
Credential
Provider Entity Type
Organization
Address
1520 S Main St, Jefferson, WI, 72716-0445
Phone Number
920-605-3004
Fax Number
920-674-2176
Provider Enumeration Date
09/15/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1520 S Main St
City
Jefferson
State
Wisconsin
Zip
53549-2940
Phone Number
920-605-3004
Fax Number
920-674-2176
person
Provider Business Mailing Address Details
Address
1520 S Main St
City
Jefferson
State
Wisconsin
Zip
53549-2940
Phone Number
920-605-3004
Fax Number
920-674-2176
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
()
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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