Wal-Mart Stores, INC
NPI #1194800763 in West Jordan, Utah
Provider Information
- NPI Number
- 1194800763
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores, INC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 7671 S 3800 W
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84084-4316
- Phone
- (801) 282-4066
Authorized Official
- Name
- NICOLE D GENTILE
- Title
- NPI COORDINATOR
- Phone
- (316) 788-5580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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