NPI 1063762359

Wal-Mart Stores INC

Organisation Eyewear Supplier Saint Cloud, MN

Practice location

Address: 3601 2nd St S, Saint Cloud, MN 56301-3762
Phone: (320) 253-1505
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: 1063762359
Entity type: Organization
NPI issued: 13 Sep 2012
Record last updated: 13 Sep 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.