NPI 1194800763

Wal-Mart Stores, INC

Organisation Eyewear Supplier West Jordan, UT

Practice location

Address: 7671 S 3800 W, West Jordan, UT 84084-4316
Phone: (801) 282-4066
Mailing address: 702 SW 8th St, Bentonville, AR 72716-6209

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 Utah →

Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Utah →

Registry record

NPI: 1194800763
Entity type: Organization
NPI issued: 25 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.