Wal-Mart Stores, Inc. DBA Wal-Mart

NPI #1659402089 in Sauk Centre, Minnesota

Provider Information

NPI Number: 1659402089
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: 205 12TH ST. S.
City: Sauk Centre
State: Minnesota
ZIP Code: 56378
Phone: (320) 352-7954

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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