NPI 1053496976

Wal-Mart Stores East, LP

Organisation Eyewear Supplier Janesville, WI

Practice location

Address: 3800 Deerfield Dr, Janesville, WI 53545
Phone: (608) 754-7800
Mailing address: 702 SW 8th St, Bentonville, AR 72716-0235

Authorised official

Name: Tammy J Boyd
Title: Contract Coordinator
Phone: (479) 277-1359

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Wisconsin →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Wisconsin →

Registry record

NPI: 1053496976
Entity type: Organization
NPI issued: 26 Oct 2006
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.