Wal-Mart Stores Louisiana, LLC

NPI #1184702326 in Thibodaux, Louisiana

Provider Information

NPI Number: 1184702326
Entity Type: Organization
Organization Name: Wal-Mart Stores Louisiana, LLC
Primary Specialty: Eyewear Supplier
Enumeration Date: Nov 2, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 410 N CANAL BLVD
City: Thibodaux
State: Louisiana
ZIP Code: 70301-2956
Phone: (985) 446-2257

Authorized Official

Name: NICOLE D GENTILE
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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