Wal-Mart Stores, INC

NPI #1912088816 in Carson City, Nevada

Provider Information

NPI Number
1912088816
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
3200 MARKET ST
State
Nevada
ZIP Code
89706-7984
Phone
(775) 883-6415

Authorized Official

Name
NICOLE D GENTILE
Title
NPI COORDINATOR
Phone
(316) 788-5580

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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