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

General Provider Information

NPI Number : 1932283223
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 : 355 LINCOLN AVE
Second Line :
City : EAST STROUDSBURG
State : PA
Zip : 18301-2814
Country : US
Telephone Number : 570-424-8415
Fax Number :
Authorized Official
Title or Position : NPI COORDINATOR
Name : NICOLE D GENTILE
Credential :
Telephone Number : 316-788-5580
Provider Enumeration Date : 10/24/2006
Last Update Date : 09/11/2025

Similar Medicare Providers

1306803382 — MICHAEL S HAMPTON O.D.
Practice Location Address:
355 LINCOLN AVE , OPTICAL
EAST STROUDSBURG, PA
18301-2814
Practice Phone: 570-424-8728
Practice Fax: 570-424-8751
1861419087 — WAL-MART STORES EAST LP
Practice Location Address:
355 LINCOLN AVE
EAST STROUDSBURG, PA
18301-2814
Practice Phone: 570-424-8612
Practice Fax:
1346417375 — DR. MELANIE LYNN SARNO PHARM.D.
Practice Location Address:
355 LINCOLN AVE
EAST STROUDSBURG, PA
18301-2814
Practice Phone: 570-424-8612
Practice Fax: 570-424-8706
1780286211 — JACQUELYN LAURIE DEBATES PHARMD
Practice Location Address:
355 LINCOLN AVE
EAST STROUDSBURG, PA
18301-2814
Practice Phone: 570-424-8612
Practice Fax: 570-424-8706
1003418187 — MR. RAUL ALEDO RPH
Practice Location Address:
355 LINCOLN AVE
EAST STROUDSBURG, PA
18301-2814
Practice Phone: 570-424-8612
Practice Fax: 570-424-8706
1144910258 — PELU TORRES OPTICIAN
Practice Location Address:
355 LINCOLN AVE
EAST STROUDSBURG, PA
18301-2814
Practice Phone: 570-424-8728
Practice Fax: 570-424-8751

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.