Wal-Mart Stores, Inc.
Organization Active NPI Eyewear Supplier · Fridley, MN
NPI 1114000809 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1114000809
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- WAL-MART STORES, INC.
- Practice address
- 8450 University Ave NE
Fridley, MN 55432-1164 - Phone
- (763) 780-9400
- NPI assigned
- Oct 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Linda M. Epperson
- Title
- Npi Coordinator
- Phone
- (316) 788-5580
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Ability Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician |
156FX1800X | |||
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
8450 University Ave NE
Fridley, MN 55432-1164
Mailing address
702 SW 8TH Street
Bentonville, AR 72716-0235
Other names
- Vision Center 30-1952
Other providers in Fridley, MN
- Jennifer Villeneuve
- Krystal Vollmuth
- Payeng Vue
- W&H Therapy Solution
- Fatuma Hangasu Wako
- Walgreen Co
- Hailee Walker
- Jenna Evelyn Walker
- Timothy Walker
- Nyriss Audrey Wallace
All providers in Fridley, MN · Eyewear Supplier in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.