Wal-Mart Stores, Inc.
Organization
Active NPI
Optician · Pine City, MN
NPI 1174656300 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1174656300
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optician 156FX1800X
- Legal business name
- WAL-MART STORES, INC.
- Practice address
- 950 11TH St SW
Pine City, MN 32062
- Phone
- (320) 629-5845
- NPI assigned
- Mar 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Norma B Smith
- Title
- Mpi Associate
- Phone
- (479) 277-1703
Corporate family (same tax ID) 24
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National Provider Directory
- Tax ID family
- Ability Network (2,173 organizations share this tax ID)
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
Optician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP |
156FX1800X |
|
|
Yes |
Addresses
Primary practice location
950 11TH St SW
Pine City, MN 32062
Mailing address
702 SW 8TH St
Bentonville, AR 72716-0235
Phone (479) 277-1703
Other names
- Vision Center 30-2367 Doing business as