DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WAL-MART STORES EAST, LP

MEDICARE: WAL-MART STORES EAST, LP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1800XOptician
2332H00000XEyewear Supplier

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518058809
Entity Type Code : Organization
Provider Name (Legal Business Name) : WAL-MART STORES EAST, LP
Provider Business Mailing Address
First Line : 702 SW 8TH ST.
Second Line :
City : BENTONVILLE
State : AR
Zip : 72716-0235
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3535 APALACHEE PKWY
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32311-5330
Country : US
Telephone Number : 850-656-2732
Fax Number :
Authorized Official
Title or Position : NPI COORDINATOR
Name : NICOLE D GENTILE
Credential :
Telephone Number : 316-788-5580
Provider Enumeration Date : 09/28/2006
Last Update Date : 09/11/2025

Similar Medicare Providers

1346477320 — MR. DONNIE D DANCE OD
Practice Location Address:
3535 APALACHEE PKWY
TALLAHASSEE, FL
32311-5330
Practice Phone: 850-219-0788
Practice Fax: 850-878-6138
1508883976 — WAL-MART STORES EAST LP
Practice Location Address:
3535 APALACHEE PKWY
TALLAHASSEE, FL
32311-5330
Practice Phone: 850-656-4593
Practice Fax:
1790210375 — RDR OPTOMETRIC CARE, PA
Practice Location Address:
3535 APALACHEE PKWY
TALLAHASSEE, FL
32311-5330
Practice Phone: 850-219-0788
Practice Fax:
1639606155 — DR. CATHERINE BACH HOUGH OD
Practice Location Address:
3535 APALACHEE PKWY
TALLAHASSEE, FL
32311-5330
Practice Phone: 850-219-0788
Practice Fax:
1427658095 — ARIC MICHEL CRAMER
Practice Location Address:
3535 APALACHEE PKWY
TALLAHASSEE, FL
32311-5330
Practice Phone: 850-656-4593
Practice Fax:
1174123723 — NORA VALERIE WALKER MUNDT
Practice Location Address:
3535 APALACHEE PKWY
TALLAHASSEE, FL
32311-5330
Practice Phone: 850-656-4593
Practice Fax:

Directions to “WAL-MART STORES EAST, LP ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.