National Provider Identifier
Wal-Mart Stores East, LP
Wal-Mart Stores East, LP is listed in the NPPES registry with a primary specialty of Eyewear Supplier in Rochester, NY and a listed phone number of (585) 266-2000.
Profile Overview
- NPI
- 1447363759
- Provider Type
- Organization
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- August 17, 2006
- Last Updated
- September 11, 2025
Practice Location
- 1490 Hudson Ave
- Rochester, NY 14621-1701
Phone: (585) 266-2000
Mailing Address
- 702 Sw 8Th St
- Bentonville, AR 72716-0235
Specialties
- Eyewear Supplier (332H00000X)
- Optician (156FX1800X)
Full Record
- NPI
- 1447363759
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Wal-Mart Stores East, LP
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 702 Sw 8Th St
- Mailing City
- Bentonville
- Mailing State
- AR
- Mailing ZIP Code
- 72716-0235
- Mailing Country
- US
- Practice Street Address
- 1490 Hudson Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-1701
- Practice Country
- US
- Practice Phone
- (585) 266-2000
- Enumeration Date
- August 17, 2006
- Last Updated
- September 11, 2025
- Authorized Official Last Name
- Boyd
- Authorized Official First Name
- Tammy
- Authorized Official Middle Name
- J
- Authorized Official Title
- Contract Coordinator
- Authorized Official Phone
- (479) 277-1359
- Organization Subpart
- No
- Taxonomy Group 1
- 193400000X Multiple Single Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Eyewear Supplier (332H00000X), Optician (156FX1800X)