Wal-Mart Stores, Inc.

NPI #1023111911 in Mililani, Hawaii

Provider Information

NPI Number: 1023111911
Entity Type: Organization
Organization Name: Wal-Mart Stores, Inc.
Primary Specialty: Eyewear Supplier
Enumeration Date: Sep 6, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 95-550 LANIKUHANA AVE
City: Mililani
State: Hawaii
ZIP Code: 96789-1783
Phone: (808) 623-7751

Authorized Official

Name: NICOLE D GENTILE
Title: NPI COORDINATOR
Phone: (316) 788-5580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X
Eyewear Supplier	332H00000X	Primary

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