Wal-Mart Stores, Inc.

NPI #1164502316 in Ottawa, Kansas

Provider Information

NPI Number: 1164502316
Entity Type: Organization
Organization Name: Wal-Mart Stores, Inc.
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 16, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 2101 S PRINCETON ST
City: Ottawa
State: Kansas
ZIP Code: 66067-4007
Phone: (785) 242-9222

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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