Wal-Mart Stores, Inc.

NPI #1194813683 in Douglas, Arizona

Provider Information

NPI Number: 1194813683
Entity Type: Organization
Organization Name: Wal-Mart Stores, Inc.
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 10, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 199 W 5TH ST
City: Douglas
State: Arizona
ZIP Code: 85607-2853
Phone: (520) 364-1281

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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