Wal-Mart Stores, Inc.
NPI #1770666026 in Grand Island, Nebraska
Provider Information
- NPI Number
- 1770666026
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores, Inc.
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 23, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 2250 N DIERS AVE
- City
- Grand Island
- State
- Nebraska
- ZIP Code
- 68803-1258
- Phone
- (308) 381-0333
Authorized Official
- Name
- LINDA M. EPPERSON
- Title
- NPI COORDINATOR
- Phone
- (316) 788-5580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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