Wal-Mart Stores, Inc.

NPI #1508948241 in Pueblo, Colorado

Provider Information

NPI Number
1508948241
Entity Type
Organization
Organization Name
Wal-Mart Stores, Inc.
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 20, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
4080 W NORTHERN AVE
City
Pueblo
ZIP Code
81005-3503
Phone
(719) 561-8495

Authorized Official

Name
LINDA M. EPPERSON
Title
NPI COORDINATOR
Phone
(316) 788-5580

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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