Wal-Mart Stores, Inc. DBA Wal-Mart
NPI #1558492033 in La Quinta, California
Provider Information
- NPI Number
- 1558492033
- 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
- 79315 HWY 111
- City
- La Quinta
- State
- California
- ZIP Code
- 92253
- Phone
- (760) 771-3749
Authorized Official
- Name
- DAVID J. SIMMONS
- Title
- NPI ASSOCIATE
- Phone
- (479) 277-9373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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