NPI 1144303942

Wal-Mart Stores, INC.

Organisation Eyewear Supplier Saint Cloud, MN

Practice location

Address: 21 County Rd 120, Saint Cloud, MN 56303
Phone: (320) 259-5880
Mailing address: 702 SW 8th St, Bentonville, AR 72716-0445

Authorised official

Name: Dianna M. 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: 1144303942
Entity type: Organization
NPI issued: 23 Oct 2006
Record last updated: 28 Jul 2011

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.