Wal-Mart Stores, Inc.

NPI #1093911927 in Rantoul, Illinois

Provider Information

NPI Number: 1093911927
Entity Type: Organization
Organization Name: Wal-Mart Stores, Inc.
Primary Specialty: Eyewear Supplier
Enumeration Date: Jun 26, 2007
Last Updated: Sep 11, 2025

Practice Location

Address: 416 S MURRAY
City: Rantoul
State: Illinois
ZIP Code: 61866
Phone: (217) 892-9151

Authorized Official

Name: MISS SABRINA N SUTTON
Title: NPI ASSOCIATE
Phone: (479) 277-1175

Specialties & Taxonomy Codes

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

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