Wal-Mart Stores, Inc.
Organization Active NPI Eyewear Supplier · Miami Gardens, FL
NPI 1720111719 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1720111719
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- WAL-MART STORES, INC.
- Practice address
- 17650 NW 2ND Ave
Miami Gardens, FL 33169-5019 - Phone
- (305) 651-4661
- NPI assigned
- Mar 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Shiela F Douglas
- Title
- Npi Associate
- Phone
- (479) 273-8048
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
17650 NW 2ND Ave
Miami Gardens, FL 33169-5019
Mailing address
702 SW 8TH St
Bentonville, AR 72716-6209
Other names
- Vision Center 30-3397
Other providers in Miami Gardens, FL
- Sara Wahman
- Wal-Mart Stores East LP
- Wal-Mart Stores East LP
- Wal-Mart Stores East LP
- Wal-Mart Stores, Inc.
- Walgreen Co
- Walgreen Co
- Athenia Walker
- Linda Walker
- Vivian Michael Walker
All providers in Miami Gardens, FL · Eyewear Supplier in Florida
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.