Wal-Mart Stores, Inc.

NPI #1255412243 in Forest Lake, Minnesota

Provider Information

NPI Number: 1255412243
Entity Type: Organization
Organization Name: Wal-Mart Stores, Inc.
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 18, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 200 12TH ST SW
City: Forest Lake
State: Minnesota
ZIP Code: 55025-1482
Phone: (651) 464-9740

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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