Wal-Mart Stores, Inc
Organization Active NPI Eyewear Supplier · East Dundee, IL
NPI 1457433344 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1457433344
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- WAL-MART STORES, INC
- Practice address
- 620 Dundee Ave
East Dundee, IL 60118-3010 - Phone
- (847) 426-2800
- NPI assigned
- Oct 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Nicole D Gentile
- Title
- Npi Coordinator
- Phone
- (316) 788-5580
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Ability Network
Locations
620 Dundee Ave
East Dundee, IL 60118
Phone (847) 426-4272
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician |
156FX1800X | |||
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
620 Dundee Ave
East Dundee, IL 60118-3010
Mailing address
702 SW 8TH St.
Bentonville, AR 72716-0235
Other names
- Vision Center 30-1531
Other providers in East Dundee, IL
- Pranavkumar Pradyuman Shroff
- Jamie Sonnenberg
- Timothy John Tamas
- Janine Tanner
- Testative
- Walmart Inc.
- Richard C Weinstein
- Ron Winkler
- Samantha Wright-Atkins
All providers in East Dundee, IL · Eyewear Supplier in Illinois
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.