Wal-Mart Stores, INC
NPI #1235210238 in Glen Carbon, Illinois
Provider Information
- NPI Number
- 1235210238
- 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
- 400 JUNCTION DR
- City
- Glen Carbon
- State
- Illinois
- ZIP Code
- 62034-4323
- Phone
- (618) 692-0550
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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