Whalio Doctors

NPI 1205184249

Wal-Mart Stores INC

Organisation Eyewear Supplier Rapid City, SD

Practice location

Address
100 E Stumer Rd, Rapid City, SD 57701-6417
Phone
(605) 348-4539
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
Optician
Eye and Vision Services Providers Taxonomy 156FX1800X

Registry record

NPI
1205184249
Entity type
Organization
NPI issued
23 Aug 2012
Record last updated
23 Aug 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.