NPI 1154402584

Wal-Mart Stores, INC

Organisation Eyewear Supplier Vancouver, WA

Practice location

Address: 430 SE 192nd Ave, Vancouver, WA 98683-9531
Phone: (360) 256-0109
Mailing address: 702 SW 8th St, Bentonville, AR 72716-0235

Authorised official

Name: Nicole D Gentile
Title: Npi Coordinator
Phone: (316) 788-5580

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Washington →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Washington →

Registry record

NPI: 1154402584
Entity type: Organization
NPI issued: 19 Oct 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.