Wal-Mart Stores, Inc.

NPI #1104908854 in Colorado Springs, Colorado

Provider Information

NPI Number: 1104908854
Entity Type: Organization
Organization Name: Wal-Mart Stores, Inc.
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 20, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 3201 E PLATTE AVE
City: Colorado Springs
State: Colorado
ZIP Code: 80909-6408
Phone: (719) 578-9164

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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