NPI 1104926997

Wal-Mart Stores, INC.

Organisation Eyewear Supplier Gardner, KS

Practice location

Address: 1555 E. Santa Fe St., Gardner, KS 66030
Phone: (913) 884-7685
Mailing address: 702 SW 8th St, Bentonville, AR 72716-0235

Authorised official

Name: Tammy J Boyd
Title: Contract Coordinator
Phone: (479) 277-1359

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Kansas →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Kansas →

Registry record

NPI: 1104926997
Entity type: Organization
NPI issued: 22 Sep 2006
Record last updated: 11 Sep 2025

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.