Wal-Mart Stores, Inc.

NPI #1104907179 in Hays, Kansas

Provider Information

NPI Number: 1104907179
Entity Type: Organization
Organization Name: Wal-Mart Stores, Inc.
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 18, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 4301 N VINE ST
City: Hays
State: Kansas
ZIP Code: 67601-9484
Phone: (785) 625-0001

Authorized Official

Name: LINDA M. EPPERSON
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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