Wal Mart Stores, Inc.

NPI #1669520383 in Topeka, Kansas

Provider Information

NPI Number: 1669520383
Entity Type: Organization
Organization Name: Wal Mart Stores, Inc.
Primary Specialty: Eyewear Supplier
Enumeration Date: Jan 8, 2007
Last Updated: Sep 11, 2025

Practice Location

Address: 2600 NW ROCHESTER RD
City: Topeka
State: Kansas
ZIP Code: 66617-1270
Phone: (785) 357-8816

Authorized Official

Name: MR. G WESLEY CRAINSHAW III
Title: PROVIDER ENROLLMENT SPECIALIST
Phone: (479) 277-1850

Specialties & Taxonomy Codes

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

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