Wal-Mart Stores, Inc.

NPI #1619052214 in Kearney, Nebraska

Provider Information

NPI Number: 1619052214
Entity Type: Organization
Organization Name: Wal-Mart Stores, Inc.
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 25, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 5411 2ND AVE
City: Kearney
State: Nebraska
ZIP Code: 68847-2435
Phone: (308) 234-8448

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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