Wal-Mart Stores, Inc.

NPI #1306978630 in Lake Park, Florida

Provider Information

NPI Number
1306978630
Entity Type
Organization
Organization Name
Wal-Mart Stores, Inc.
Primary Specialty
Eyewear Supplier
Enumeration Date
Mar 12, 2007
Last Updated
Sep 11, 2025

Practice Location

Address
101 NORTH CONGRESS AVE
State
Florida
ZIP Code
33403
Phone
(561) 842-8113

Authorized Official

Name
MRS. NORMA B. SMITH
Title
MPI ASSOCIATE
Phone
(479) 277-1703

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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