Wal-Mart Stores, INC

NPI #1982788535 in Peoria, Illinois

Provider Information

NPI Number
1982788535
Entity Type
Organization
Organization Name
Wal-Mart Stores, INC
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 24, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
8915 N ALLEN RD
City
Peoria
ZIP Code
61615-1534
Phone
(309) 693-0525

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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