Wal-Mart Stores, INC

NPI #1043308653 in Pearl City, Hawaii

Provider Information

NPI Number: 1043308653
Entity Type: Organization
Organization Name: Wal-Mart Stores, INC
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 10, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 1131 KUALA STREET
City: Pearl City
State: Hawaii
ZIP Code: 96782
Phone: (808) 454-8785

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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