Wal-Mart Stores, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

WAL-MART STORES, INC.

Doing business as

Vision Center 30-1473

Practice address

1881 E Madison Ave
Mankato, MN 56001-6200

Phone

(507) 625-9318

NPI assigned

Oct 20, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Linda M. Epperson

Title

Npi Coordinator

Phone

(316) 788-5580

Specialties & licenses 2

Addresses

Other names 1

• Vision Center 30-1473 Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1609959139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SW 8TH ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727166209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 E MADISON AVE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016200",
            "telephone_number": "507-625-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAL-MART STORES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "EPPERSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "NPI COORDINATOR",
        "authorized_official_telephone_number": "316-788-5580"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Center 30-1473",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lanaya Dawn Wacek
• Anthony Lane Wacholz, PHARMD
• Jaya Wadhawan
• Richard K Waeschle, MD
• Deborah A Wagner, P.A.-C
• Walgreen Co (Walgreens #13902)
• Walgreen Co (Walgreens #07290)
• Rachel Jane Wallace
• Elizabeth Wallen, LP
• Walmart Inc. (Walmart Pharmacy 10-1473)

• Eyewear Supplier in Mankato, MN
• Providers in Mankato, MN by specialty
• Eyewear Supplier in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.