Wal-Mart Stores INC

NPI #1033290952 in Elgin, Illinois

Provider Information

NPI Number
1033290952
Entity Type
Organization
Organization Name
Wal-Mart Stores INC
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 18, 2006
Last Updated
Dec 6, 2011

Practice Location

Address
1001 S RANDALL RD
City
Elgin
ZIP Code
60123
Phone
(847) 468-9777

Authorized Official

Name
DIANNA PAINTER
Title
ENROLLMENT SPECIALIST
Phone
(479) 277-1238

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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