Wal-Mart Stores, Inc.
NPI #1154402204 in Cedar Rapids, Iowa
Provider Information
- NPI Number
- 1154402204
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores, Inc.
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 17, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 3601 29TH AVE SW
- City
- Cedar Rapids
- State
- Iowa
- ZIP Code
- 52404-3109
- Phone
- (319) 390-9922
Authorized Official
- Name
- LINDA M. EPPERSON
- Title
- NPI COORDINATOR
- Phone
- (316) 788-5580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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