Wal-Mart Stores, Inc. DBA Wal-Mart

NPI #1528199940 in New Ulm, Minnesota

Provider Information

NPI Number: 1528199940
Entity Type: Organization
Organization Name: Wal-Mart Stores, Inc. DBA Wal-Mart
Primary Specialty: Eyewear Supplier
Enumeration Date: Mar 8, 2007
Last Updated: Sep 11, 2025

Practice Location

Address: 1720 WESTRIDGE RD
City: New Ulm
State: Minnesota
ZIP Code: 56073
Phone: (507) 354-0900

Authorized Official

Name: DAVID J. SIMMONS
Title: NPI ASSOCIATE
Phone: (479) 277-9373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X
Eyewear Supplier	332H00000X	Primary

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