Wal-Mart Stores, LP

NPI #1124101761 in Portage, Michigan

Provider Information

NPI Number: 1124101761
Entity Type: Organization
Organization Name: Wal-Mart Stores, LP
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 24, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 8350 SHAVER RD
City: Portage
State: Michigan
ZIP Code: 49024-5441
Phone: (269) 323-2460

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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