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Wal-mart Stores East, Lp
Eyewear Supplier in Jefferson City, Tennessee
NPI 1922198126

Wal-mart Stores East, Lp is a Eyewear Supplier based in Bentonville, TN. Wal-mart Stores East, Lp practices in Jefferson City, TN. The NPI Number for Wal-mart Stores East, Lp is 1922198126 and holds a License No. (Tennessee).

The current practice location address for Wal-mart Stores East, Lp is 630 E Broadway Blvd, Jefferson City, TN and can be reached out via phone at 865-475-0730.

Location: 630 E Broadway Blvd, Jefferson City, TN, 72716-0235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922198126
Provider Name
Wal-mart Stores East, Lp
Credential
Provider Entity Type
Organization
Address
630 E Broadway Blvd, Jefferson City, TN, 72716-0235
Phone Number
865-475-0730
Fax Number
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
630 E Broadway Blvd
City
Jefferson City
State
Tennessee
Zip
37760-4900
Phone Number
865-475-0730
Fax Number
person
Provider Business Mailing Address Details
Address
630 E Broadway Blvd
City
Jefferson City
State
Tennessee
Zip
37760-4900
Phone Number
865-475-0730
Fax Number
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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