Wal-Mart Stores, INC

NPI #1811078850 in Payson, Utah

Provider Information

NPI Number: 1811078850
Entity Type: Organization
Organization Name: Wal-Mart Stores, INC
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 18, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 1052 TURF FARM RD
City: Payson
State: Utah
ZIP Code: 84651-1645
Phone: (801) 465-8246

Authorized Official

Name: NICOLE D GENTILE
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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