Wal-Mart Stores, INC
NPI #1053401398 in Spanaway, Washington
Provider Information
- NPI Number
- 1053401398
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores, INC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 16, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 20307 MOUNTAIN HWY E
- City
- Spanaway
- State
- Washington
- ZIP Code
- 98387-8101
- Phone
- (253) 846-6008
Authorized Official
- Name
- NICOLE D GENTILE
- Title
- NPI COORDINATOR
- Phone
- (316) 788-5580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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