Wal-Mart Stores, Inc.
NPI #1811077191 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1811077191
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores, Inc.
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 17, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 715 E 78TH ST
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55420-1397
- Phone
- (952) 854-5600
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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