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Wal-Mart Stores Inc

Organization Active NPI Eyewear Supplier · Medford, OR

NPI 1659635639 · NPPES record last updated Jun 25, 2012

Key facts

NPI
1659635639
Entity type
Organization (NPI type 2)
Primary specialty
Eyewear Supplier 332H00000X
Legal business name
WAL-MART STORES INC
Practice address
1360 Center Dr
Medford, OR 97501
Phone
(541) 535-9170
NPI assigned
Jun 25, 2012
Organization subpart
No

Authorized official

Name
Dianna Painter
Title
Enrollment Specialist
Phone
(479) 277-1238

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Ability Network (2,173 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 156FX1800X
Eyewear Supplier 332H00000X Yes

Addresses

Primary practice location

1360 Center Dr
Medford, OR 97501

Mailing address

702 SW 8TH St
Bentonville, AR 72716-0445

Other names

  • Wal-Mart Vision Center 30-2069 Doing business as

Other providers in Medford, OR

All providers in Medford, OR · Eyewear Supplier in Oregon

Sources for this page

Verify at the official NPI Registry.