Wal-Mart Stores, Inc. DBA Wal-Mart

NPI #1982734539 in Lincoln, Illinois

Provider Information

NPI Number: 1982734539
Entity Type: Organization
Organization Name: Wal-Mart Stores, Inc. DBA Wal-Mart
Primary Specialty: Eyewear Supplier
Enumeration Date: Mar 6, 2007
Last Updated: Sep 11, 2025

Practice Location

Address: 825 MALERICH DR.
City: Lincoln
State: Illinois
ZIP Code: 62656
Phone: (217) 732-4285

Authorized Official

Name: DAVID J. SIMMONS
Title: NPI ASSOCIATE
Phone: (479) 277-9373

Specialties & Taxonomy Codes

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

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