NPI 1063760817

Wal-Mart Stores INC

Organisation Eyewear Supplier Brooklyn Center, MN

Practice location

Address: 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430
Phone: (763) 566-4065
Mailing address: 702 SW 8th St, Bentonville, AR 72716-0445

Authorised official

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

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Minnesota →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Minnesota →

Registry record

NPI: 1063760817
Entity type: Organization
NPI issued: 28 Aug 2012
Record last updated: 30 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.