Wal-Mart Stores, INC

NPI #1912096959 in Springville, Utah

Provider Information

NPI Number: 1912096959
Entity Type: Organization
Organization Name: Wal-Mart Stores, INC
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 11, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 660 S 1750 W
City: Springville
State: Utah
ZIP Code: 84663-3071
Phone: (801) 489-6293

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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