Wal-Mart Stores, Inc.

NPI #1922483544 in Robinson, Illinois

Provider Information

NPI Number: 1922483544
Entity Type: Organization
Organization Name: Wal-Mart Stores, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: WAL-MART STORES, INC.
Primary Specialty: Eyewear Supplier
Enumeration Date: Jul 24, 2015
Last Updated: Jul 24, 2015

Practice Location

Address: 1304 E MAIN ST
City: Robinson
State: Illinois
ZIP Code: 62454-3729
Phone: (615) 544-8522

Authorized Official

Name: LAURA LEVINE
Title: DR H&W ENROLLMENT
Phone: (479) 204-8550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X
Eyewear Supplier	332H00000X	Primary

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